Organization
DUTCHMEN INCORPORATED
Active
Other names
Medicap Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN GLENN PHARMD (PHARMACIST/MANAGER)
(641) 342-6557
Entity
Organization
Contact information
Practice address
214 S. MAIN, OSCEOLA, IA 50213
(641) 342-6557
(641) 342-6558
Mailing address
214 S. MAIN, OSCEOLA, IA 50213
(641) 342-6557
(641) 342-6558
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
502
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006528
—
IA
01
—
1612438
NABP
IA
Enumeration date
11/17/2006
Last updated
03/07/2023
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