Medicap Pharmacy

LBN: Van Dyke Drug Store Inc
Medicap Pharmacy is an health care organization with primary practice located at 504 A Ave W , Oskaloosa IA 52577-2708. 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. Van Dyke Drug Store Inc can be contacted via phone (641) 673-8486, or through Heidebrink, Michelle via phone (641) 673-8486.

Contact Information

Primary practice address
504 A Ave W Oskaloosa IA 52577-2708
Phone: (641) 673-8486
Fax: (641) 673-8698
Website:
Map and Directions
Authorized official contact:
Name: Heidebrink, Michelle RPH
Phone: (641) 673-8486

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 401 Iowa
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1962574756
LBN Legal business name Van Dyke Drug Store Inc
DBA Doing business as Medicap Pharmacy
Authorized official Heidebrink, Michelle RPH
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 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 1962574756 NPPES
Iowa MEDICAID 0126003
Iowa Other 1608085

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