Organization
LVH INC
Active
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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