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Organization
LIFE RX INC
Active
Organization
LIFE RX INC
Active
Other names
Scott Drug Unit Dose Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER WALKER (OWNER)
(563) 659-5041
Entity
Organization
Contact information
Practice address
609 7TH AVE, DEWITT, IA 52742
(563) 659-5042
(563) 659-5044
Mailing address
SCOTT'S THRIFTY WHITE DRUG, 629 6TH AVE, DE WITT, IA 52742
(563) 659-5042
(563) 659-5044
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
1212
IA
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001331
—
IA
01
—
2125507
PK
—
Enumeration date
06/10/2010
Last updated
02/10/2020
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