Organization
DP & B INC
Active
Other names
Medicap Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PHIL HEGWOOD (OWNER)
(712) 732-3737
Entity
Organization
Contact information
Practice address
435 LAKE AVE, STORM LAKE, IA 50588-2362
(712) 732-3737
(712) 749-2921
Mailing address
435 LAKE AVE, STORM LAKE, IA 50588-2362
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
259
IA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0084137
—
IA
01
—
1611981
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/03/2006
Last updated
03/07/2023
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