Dewitt Pharmacy INC

NPI #1205847340 in Dewitt, Iowa

Provider Information

NPI Number
1205847340
Entity Type
Organization
Organization Name
Dewitt Pharmacy INC
Primary Specialty
Pharmacy - Long Term Care Pharmacy
Enumeration Date
Aug 11, 2006
Last Updated
Aug 28, 2007

Practice Location

Address
609 7TH AVE
City
Dewitt
State
Iowa
ZIP Code
52742
Phone
(563) 659-5041

Authorized Official

Name
DENNIS BOUSSELOT, RPH
Title
PRESIDENT
Phone
(563) 659-5042

Specialties & Taxonomy Codes

Specialty
Pharmacy
Pharmacy - Long Term Care PharmacyLong Term Care Pharmacy

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