# LIFE RX INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Scott Drug Unit Dose Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780904854
- **Authorized official:** JENNIFER WALKER (OWNER)
- **Authorized official phone:** (563) 659-5041

## Contact information

- **Practice address:** 609 7TH AVE, DEWITT, IA 52742
- **Practice address phone:** (563) 659-5042
- **Practice address fax:** (563) 659-5044
- **Mailing address:** SCOTT'S THRIFTY WHITE DRUG, 629 6TH AVE, DE WITT, IA 52742
- **Mailing address phone:** (563) 659-5042
- **Mailing address fax:** (563) 659-5044

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 1212 | IA | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 06/10/2010
- **Last updated:** 02/10/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0001331 | — | IA |
| 01 | — | 2125507 | PK | — |