Organization
RAJO PHARMACY LTD
Active
Other names
MEDICAP PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RICK ANDERSON RPH (OWNER PHARMACIST)
(319) 366-8351
Entity
Organization
Contact information
Practice address
1551 1ST AVE SE, CEDAR RAPIDS, IA 52402-5123
(319) 366-8351
(319) 399-3695
Mailing address
1551 1ST AVE SE, CEDAR RAPIDS, IA 52402-5123
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
69
IA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0098251
—
IA
05
—
0271957
—
IA
01
—
1607829
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
11/15/2006
Last updated
03/07/2023
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