Evans Crossing Pharmacy

LBN: Blackhawk Pharmacy
Evans Crossing Pharmacy is an health care organization with primary practice located at 3506 Lafayette Rd , Evansdale IA 50707-1025. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Blackhawk Pharmacy can be contacted via phone (319) 233-3395, or through Pilkington, Wesley Charles via phone (319) 233-3395.

Contact Information

Primary practice address
3506 Lafayette Rd Evansdale IA 50707-1025
Phone: (319) 233-3395
Fax: (319) 233-3099
Website:
Map and Directions
Authorized official contact:
Name: Pilkington, Wesley Charles PHARMD
Phone: (319) 233-3395

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 1644 Iowa

Profile Details

NPI number 1023505542
LBN Legal business name Blackhawk Pharmacy
DBA Doing business as Evans Crossing Pharmacy
Authorized official Pilkington, Wesley Charles PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2018
Last updated May 9th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023505542 NPPES
Other 2176663 PK
MEDICAID 1023505542 PK

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