MEDICAP PHARMACY
Medical Equipment Supplier Yellow Pages
Decorah, Iowa
Provider NPI: 1467569038
Organization Information:Organization Name: MEDICAP PHARMACY
Practice Location:
702 MONTGOMERY ST STE B DECORAH, IA 52101 US
Tel: 563-382-8765 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
702 MONTGOMERY ST STE B DECORAH, IA 52101 US
Tel: 563-382-8765 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336L0003X | Suppliers Pharmacy Long Term Care Pharmacy | IA | 1295 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
1245110001 | IA | 05 | |
OTHER ID NUMBER | 1622718 | 01 | |
OTHER ID NUMBER-COMMERCIAL NUMBER | 1622718 | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin