Organization
DEWITT PHARMACY INC
Active
Other names
DEWITT PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS BOUSSELOT RPH (PRESIDENT)
(563) 659-5042
Entity
Organization
Contact information
Practice address
609 7TH AVE, DEWITT, IA 52742
(563) 659-5041
Mailing address
609 7TH AVE, DEWITT, IA 52742
(563) 659-5041
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
1212
IA
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0491548
—
IA
01
—
1622376
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/11/2006
Last updated
08/28/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up