Medicap Pharmacy

LBN: Kimwood, Inc.
Medicap Pharmacy is an health care organization with primary practice located at 316 Broadway St , Audubon IA 50025-1104. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Kimwood, Inc. can be contacted via phone (712) 563-2655, or through Jorgensen, Dennis A. via phone (712) 563-2655.

Contact Information

Primary practice address
316 Broadway St Audubon IA 50025-1104
Phone: (712) 563-2655
Fax: (712) 563-2656
Website:
Map and Directions
Authorized official contact:
Name: Jorgensen, Dennis A. R. PH.
Phone: (712) 563-2655

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 813 Iowa

Profile Details

NPI number 1245281450
LBN Legal business name Kimwood, Inc.
DBA Doing business as Medicap Pharmacy
Authorized official Jorgensen, Dennis A. R. PH.
Entity Organization
Organization subpart 1 No
Enumeration date May 12th, 2006
Last updated Mar 7th, 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 1245281450 NPPES
Iowa MEDICAID 0254383
Iowa Other 1614329

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