Organization
HERITAGE PARK PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J MCCOY (CEO)
(319) 768-3268
Entity
Organization
Contact information
Practice address
1223 S. GEAR AVE., SUITE 105, WEST BURLINGTON, IA 52655-1690
(319) 768-3950
(319) 768-2955
Mailing address
1223 S. GEAR AVE., SUITE 105, WEST BURLINGTON, IA 52655-1690
(319) 768-3950
(319) 768-2955
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
602IA
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0199695
—
IA
01
—
1613365
NEPDP
—
Enumeration date
08/15/2006
Last updated
03/09/2026
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