Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
DEWITT PHARMACY INC
Active
Organization
DEWITT PHARMACY INC
Active
Other names
DEWITT PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS BOUSSELOT RPH (PRESIDENT)
(563) 659-5042
Entity
Organization
Contact information
Practice address
609 7TH AVE, DEWITT, IA 52742
(563) 659-5041
Mailing address
609 7TH AVE, DEWITT, IA 52742
(563) 659-5041
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
1212
IA
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0491548
—
IA
01
—
1622376
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/11/2006
Last updated
08/28/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers