Organization
GENESIS HEALTH SYSTEM
Active
Other names
Scott Drug, an affiliate of Genesis Health System
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH D MALAS (CFO)
(563) 421-6508
Entity
Organization
Contact information
Practice address
629 6TH AVE, DE WITT, IA 52742-1635
(563) 659-5042
Mailing address
629 6TH AVE, DE WITT, IA 52742-1635
(563) 659-5042
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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