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Organization

LVH INC

Active
Other names
MEDICAP PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
LAWRENCE VAN HEUKELOM RPH (OWNER PHARMACIST)
(515) 274-4609
Entity
Organization

Contact information

Practice address
5802 FRANKLIN AVE, DES MOINES, IA 50322-6132
(515) 274-4609
(515) 279-4960
Mailing address
5802 FRANKLIN AVE, DES MOINES, IA 50322-6132

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
91
IA
3336C0003X
Community/Retail Pharmacy
Primary
3336L0003X
Long Term Care Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0037556
IA
01
1601067
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
08/20/2006
Last updated
03/07/2023
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