Scott Drug Clinic Pharmacy

LBN: Life Rx Inc
Scott Drug Clinic Pharmacy is an health care organization with primary practice located at 1021 11Th St , De Witt IA 52742-1209. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Life Rx Inc can be contacted via phone (563) 659-8910, or through Walker, Jennifer via phone (563) 659-8910.

Contact Information

Primary practice address
1021 11Th St De Witt IA 52742-1209
Fax: (563) 659-8411
Website:
Authorized official contact:
Name: Walker, Jennifer

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 1228 Iowa
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1437470499
LBN Legal business name Life Rx Inc
DBA Doing business as Scott Drug Clinic Pharmacy
Authorized official Walker, Jennifer
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2010
Last updated Feb 28th, 2020 - about 4 years ago

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 1437470499 NPPES
Iowa MEDICAID 1437470499
Iowa MEDICAID 0419267
Iowa Other 2125508

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