Organization
SCOTT PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY W SCOTT RPH (OWNER/PHARMACIST)
(563) 425-4530
Entity
Organization
Contact information
Practice address
238 S MAIN ST, FAYETTE, IA 52142-9301
(563) 425-4530
(563) 425-4530
Mailing address
PO BOX 188, FAYETTE, IA 52142-0188
(563) 425-4530
(563) 425-4530
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
556
IA
332B00000X
Durable Medical Equipment & Medical Supplies
556
IA
3336C0003X
Community/Retail Pharmacy
Primary
556
IA
3336L0003X
Long Term Care Pharmacy
556
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0479857
—
IA
Enumeration date
08/20/2006
Last updated
12/12/2018
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