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DEWITT PHARMACY INC
NPI 1205847340
Pharmacy - Long Term Care Pharmacy in Dewitt, IA

Active since August 11, 2006

NPPES record last updated: August 28, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dewitt Pharmacy Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEWITT PHARMACY INC (NPI 1205847340) is a healthcare organization registered as a long term care pharmacy in Dewitt, Iowa and active in the NPI registry since August 2006. The organization lists Dennis Bousselot, President, as its authorized official.

NPPES Registry Identity

NPI1205847340
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameDEWITT PHARMACY INC
Location Address609 7TH AVEDewitt, IA 52742
Mailing Address609 7th AveDewitt, IA 52742 · (563) 659-5041
Phone(563) 659-5041
Organization SubpartNo
Authorized OfficialDennis BousselotPresident · (563) 659-5042
Enumeration DateAugust 11, 2006
Last NPPES UpdateAugust 28, 2007
✔ NPI 1205847340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Also ListedPharmacyTaxonomy 333600000X · License 1212 (IA)
609 7TH AVE, Dewitt, IA 52742
Open in Google Maps ↗

Other Names 1

Doing Business AsDewitt Pharmacy Inc

Other Identifiers 3

Medicare ID-Type Unspecified4108330001
Other1622376Other Id Number-commercial Number
Medicaid0491548IA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIFE RX INC
Pharmacy (Long Term Care Pharmacy)
609 7TH AVE
DEWITT, IA 52742
Clinton County (563) 659-5042

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dewitt Pharmacy Inc's NPI number?

The NPI number for Dewitt Pharmacy Inc is 1205847340. It was assigned to this organization in the NPPES registry on August 11, 2006.

Where is Dewitt Pharmacy Inc located?

Dewitt Pharmacy Inc is located at 609 7th Ave, Dewitt, IA 52742. The listed phone number is (563) 659-5041.

What is Dewitt Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

When was this NPI record last updated?

The NPPES record for Dewitt Pharmacy Inc was last updated on August 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.