Organization
PERKWELL INC
Active
Other names
Medicap Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID PERKINS (OWNER AND PHARMACIST)
(712) 325-8676
Entity
Organization
Contact information
Practice address
2201 W BROADWAY, BAY 8, COUNCIL BLUFFS, IA 51501-3605
(712) 325-8676
(712) 325-9765
Mailing address
2201 W BROADWAY, BAY 8, COUNCIL BLUFFS, IA 51501-3605
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
13
IA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0457655
—
IA
01
—
1615434
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/30/2006
Last updated
03/07/2023
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