Organization
HERITAGE PARK PHARMACY INC
Active
Other names
HERITAGE FAMILY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J MCCOY (CEO)
(319) 768-3268
Entity
Organization
Contact information
Practice address
1201 W AGENCY RD, WEST BURLINGTON, IA 52655-1645
(319) 753-3681
(319) 768-3987
Mailing address
1201 W AGENCY RD, WEST BURLINGTON, IA 52655-1645
(319) 753-3681
(319) 768-3987
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
625
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119965
—
IA
01
—
2028420
PK
—
Enumeration date
08/24/2006
Last updated
03/09/2026
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