Organization
WHAS RX LLC
Active
Other names
Medicap Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SHERWOOD PETERSON RPH (PRESIDENT WHAS RX LLC)
(507) 272-6601
Entity
Organization
Contact information
Practice address
516 S OAK ST, IOWA FALLS, IA 50126-9544
(641) 648-4263
(641) 648-4264
Mailing address
516 S OAK ST, IOWA FALLS, IA 50126-9544
(641) 648-4263
(641) 648-4264
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
1172
IA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2134599
PK
—
Enumeration date
10/03/2006
Last updated
07/08/2014
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