Organization
NORTH SCOTT PHARMACY INC
Active
Other names
NORTH SCOTT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA JUDKINS RPH (OWNER/PIC)
(563) 285-2001
Entity
Organization
Contact information
Practice address
225 E LECLAIRE RD, ELDRIDGE, IA 52748
(563) 285-2001
(563) 285-5237
Mailing address
225 E LECLAIRE RD, ELDRIDGE, IA 52748
(563) 285-2001
(563) 285-5237
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1217
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0418277
—
IA
01
—
1621716
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/11/2006
Last updated
10/23/2012
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