Organization
SCOTT PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID JEFFREY SCOTT PHARMD (CO-OWNER/PHARMACIST)
(563) 425-4530
Entity
Organization
Contact information
Practice address
238 S MAIN ST, FAYETTE, IA 52142-9301
(563) 425-4530
(563) 425-3261
Mailing address
PO BOX 188, FAYETTE, IA 52142-0188
(563) 425-4530
(563) 425-3261
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0479857
—
IA
Enumeration date
12/12/2018
Last updated
12/12/2018
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