Organization
DYKSTRA PHARMACY CO
Active
Other names
Hull Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD K DYKSTRA RPH (OWNER)
(712) 439-1611
Entity
Organization
Contact information
Practice address
1044 MAIN STREET, BOX 309, HULL, IA 51239
(712) 439-1611
(712) 439-1612
Mailing address
1044 MAIN ST, BOX 309, HULL, IA 51238
(712) 439-1611
(712) 439-1612
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14742
IA
315P00000X
Intellectual Disabilities Intermediate Care Facility
14742
IA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
14742
IA
3336L0003X
Long Term Care Pharmacy
14742
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0081661
—
IA
Enumeration date
08/24/2006
Last updated
09/11/2025
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