Organization
HERRALD DRUG INC
Active
Organization
HERRALD DRUG INC
Active
Other names
Medicap Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES R CARLSON RPH (OWNER)
(515) 432-2311
Entity
Organization
Contact information
Practice address
403 STORY ST, BOONE, IA 50036-3533
(515) 432-2311
(515) 432-8562
Mailing address
403 STORY ST, BOONE, IA 50036-3533
(515) 432-2311
(515) 432-8562
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
0219540001
IA
332S00000X
Hearing Aid Equipment
00063
IA
3336C0003X
Community/Retail Pharmacy
Primary
590
IA
335E00000X
Prosthetic/Orthotic Supplier
0219540001
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006247
—
IA
01
—
1604479
NCPDP #
IA
Enumeration date
08/22/2006
Last updated
03/07/2023
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