Heritage Park Pharmacy INC
NPI #1891401535 in Fort Madison, Iowa
Provider Information
- NPI Number
- 1891401535
- Entity Type
- Organization
- Organization Name
- Heritage Park Pharmacy INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jan 26, 2023
- Last Updated
- Jan 26, 2023
Practice Location
- Address
- 3032 AVENUE L
- City
- Fort Madison
- State
- Iowa
- ZIP Code
- 52627-3625
- Phone
- (319) 768-1000
Authorized Official
- Name
- DR. MICHAEL JERRY MCCOY, MD
- Title
- PRESIDENT/CEO
- Phone
- (319) 768-3268
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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