Medicap Pharmacy
LBN: Phill Mont Company
Medicap Pharmacy is an health care organization with primary practice located at 201 S 16Th St , Clarinda IA 51632-2107. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Phill Mont Company can be contacted via phone (712) 542-6546, or through Mowery, Steven via phone (712) 542-6546.
Contact Information
Primary practice address
201 S 16Th St
Clarinda IA 51632-2107
Phone: (712) 542-6546
Fax: (712) 542-4955
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | Iowa | |
| Suppliers / Pharmacy | 333600000X | 310 | Iowa |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1356435762 |
|---|---|
| LBN Legal business name | Phill Mont Company |
| DBA Doing business as | Medicap Pharmacy |
| Authorized official | Mowery, Steven RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 3rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356435762 | NPPES |
| Other | 1614230 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | 602760605 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | 622760601 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | 0029843 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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