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Organization

HERITAGE PARK PHARMACY INC

Active
Other names
Heritage Partners Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL JERRY MCCOY MD (PRESIDENT AND CEO)
(197) 683-2683
Entity
Organization

Contact information

Practice address
1225 S GEAR AVE STE 154, WEST BURLINGTON, IA 52655-1688
(319) 768-3960
(319) 768-3964
Mailing address
1225 S GEAR AVE STE 154, WEST BURLINGTON, IA 52655-1688
(319) 768-3960
(319) 768-3964

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1060
IA
3336L0003X
Long Term Care Pharmacy
1060
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0178301
IA
Enumeration date
12/29/2005
Last updated
07/15/2025
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