Scott Thrifty White Drug

LBN: Dewitt Pharmacy Inc
Scott Thrifty White Drug is an health care organization with primary practice located at 629 6Th Ave , De Witt IA 52742-1635. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Dewitt Pharmacy Inc can be contacted via phone (563) 659-5042, or through Bousselot, Dennis via phone (563) 659-5042.

Contact Information

Primary practice address
629 6Th Ave De Witt IA 52742-1635
Phone: (563) 659-5042
Fax: (563) 659-5044
Website:
Map and Directions
Authorized official contact:
Name: Bousselot, Dennis RPH
Phone: (563) 659-5042

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 280 Iowa

Profile Details

NPI number 1174630735
LBN Legal business name Dewitt Pharmacy Inc
DBA Doing business as Scott Thrifty White Drug
Authorized official Bousselot, Dennis RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 23rd, 2006
Last updated Mar 17th, 2010 - about 15 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 1174630735 NPPES
Iowa MEDICAID 0143404
Iowa Other 1610167

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