Organization
DGS-ACQUISITIONS LLC
Active
Other names
Price Chopper
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC BICKEL R.PH. (PHARMACY DIRECTOR)
(515) 255-8642
Entity
Organization
Contact information
Practice address
4343 MERLE HAY RD, DES MOINES, IA 50310-1411
(515) 276-4845
(515) 331-3163
Mailing address
4343 MERLE HAY RD, DES MOINES, IA 50310-1411
(515) 276-4845
(515) 331-3163
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
1524
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0098871
—
IA
01
—
1265463400
MEDICARE PTAN
IA
05
—
1265463400
—
IA
01
—
1607906
NCPDP
—
01
—
I20027
MEDICARE FLU ROSTER
—
Enumeration date
07/05/2006
Last updated
10/26/2016
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