Medicap Pharmacy

LBN: Medicap Pharmacy
Medicap Pharmacy is an health care organization with primary practice located at 702 Montgomery St Ste B, Decorah IA 52101-2317. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Medicap Pharmacy can be contacted via phone (563) 382-8765, or through Mckone Burks, Susan via phone (563) 382-8765.

Contact Information

Primary practice address
702 Montgomery St Ste B Decorah IA 52101-2317
Phone: (563) 382-8765
Fax: (563) 382-1329
Website:
Map and Directions
Authorized official contact:
Name: Mckone Burks, Susan RPH
Phone: (563) 382-8765

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X 1295 Iowa

Profile Details

NPI number 1467569038
LBN Legal business name Medicap Pharmacy
DBA Doing business as
Authorized official Mckone Burks, Susan RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 23rd, 2006
Last updated Jul 19th, 2007 - about 17 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 1467569038 NPPES
Iowa MEDICAID 1245110001
Iowa Other 1622718
Iowa Other 1622718

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