Organization
HERITAGE PARK PHARMACY INC
Active
Organization
HERITAGE PARK PHARMACY INC
Active
Other names
Heritage Pharmacy - Fort Madison
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JERRY MCCOY MD (PRESIDENT/CEO)
(319) 768-3268
Entity
Organization
Contact information
Practice address
3032 AVENUE L, FORT MADISON, IA 52627-3625
(319) 768-1000
Mailing address
1221 S GEAR AVE, WEST BURLINGTON, IA 52655-1679
(319) 768-1000
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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