Organization
LIFE RX INC
Active
Other names
Scott Drug Unit Dose Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER WALKER (OWNER)
(563) 659-5041
Entity
Organization
Contact information
Practice address
609 7TH AVE, DEWITT, IA 52742
(563) 659-5042
(563) 659-5044
Mailing address
SCOTT'S THRIFTY WHITE DRUG, 629 6TH AVE, DE WITT, IA 52742
(563) 659-5042
(563) 659-5044
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
1212
IA
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001331
—
IA
01
—
2125507
PK
—
Enumeration date
06/10/2010
Last updated
02/10/2020
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