Organization
LIFE RX INC
Active
Organization
LIFE RX INC
Active
Other names
Scott Drug Clinic Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER WALKER (OWNER)
(563) 659-8910
Entity
Organization
Contact information
Practice address
1021 11TH ST, DE WITT, IA 52742-1209
(563) 659-8910
(563) 659-8411
Mailing address
SCOTT'S THRIFTY WHITE DRUG, 629 6TH AVE, DE WITT, IA 52742
(563) 659-5042
(563) 659-5044
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1228
IA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0419267
—
IA
05
—
1437470499
—
IA
01
—
2125508
PK
—
Enumeration date
06/14/2010
Last updated
02/28/2020
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