Organization
STELINHOS BEAVERDALE LLC
Active
Other names
MEDICAP PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSEY LUDWIG RPH (OWNER PHARMACIST)
(515) 277-3702
Entity
Organization
Contact information
Practice address
2804 BEAVER AVE, DES MOINES, IA 50310-4038
(515) 277-3702
(515) 277-3703
Mailing address
2804 BEAVER AVE, DES MOINES, IA 50310-4038
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
1222
IA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0418020
—
IA
01
—
1621689
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
01/23/2007
Last updated
03/07/2023
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