Heritage Partners Pharmacy

LBN: Heritage Park Pharmacy Inc
Heritage Partners Pharmacy is an health care organization with primary practice located at 1225 S Gear Ave Ste 154 , West Burlington IA 52655-1688. The organization recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Long Term Care Pharmacy. Pharmacy Service Providers / Pharmacist is the primary health care specialty. Heritage Park Pharmacy Inc can be contacted via phone (319) 768-3960, or through Mccoy, Michael Jerry via phone (197) 683-2683.

Contact Information

Primary practice address
1225 S Gear Ave Ste 154 West Burlington IA 52655-1688
Phone: (319) 768-3960
Fax: (319) 768-3964
Website:
Map and Directions
Authorized official contact:
Name: Mccoy, Michael Jerry Doctor of Medicine (MD)
Phone: (197) 683-2683

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 1060 Iowa
Suppliers / Long Term Care Pharmacy 3336L0003X 1060 Iowa

Profile Details

NPI number 1780661751
LBN Legal business name Heritage Park Pharmacy Inc
DBA Doing business as Heritage Partners Pharmacy
Authorized official Mccoy, Michael Jerry Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 29th, 2005
Last updated Jan 14th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780661751 NPPES
Iowa MEDICAID 0178301

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