Medicap Pharmacy

LBN: Stelinhos Beaverdale Llc
Medicap Pharmacy is an health care organization with primary practice located at 2804 Beaver Ave , Des Moines IA 50310-4038. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Stelinhos Beaverdale Llc can be contacted via phone (515) 277-3702, or through Ludwig, Lindsey via phone (515) 277-3702.

Contact Information

Primary practice address
2804 Beaver Ave Des Moines IA 50310-4038
Fax: (515) 277-3703
Website:
Authorized official contact:
Name: Ludwig, Lindsey RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 1222 Iowa
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1457405805
LBN Legal business name Stelinhos Beaverdale Llc
DBA Doing business as Medicap Pharmacy
Authorized official Ludwig, Lindsey RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2007
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 1457405805 NPPES
Other 1621689 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 0418020 OTHER ID NUMBER-COMMERCIAL NUMBER

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