DEWITT PHARMACY INC NPI 1174630735

NPI Information

  • NPI: 1174630735
  • Provider Name: DEWITT PHARMACY INC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: SCOTT THRIFTY WHITE DRUG
  • Address: 629 6TH AVE
    DE WITT, IA
    ZIP 52742
  • Phone: (563) 659-5042

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NPI Details

DEWITT PHARMACY INC is a community/retail pharmacy pharmacy in De Witt, IA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. DEWITT PHARMACY INC NPI is 1174630735. The provider is registered as an organization entity type.
The provider Is Doing Business As Scott Thrifty White Drug.

The provider's business location address is:

629 6TH AVE
DE WITT, IA
ZIP 52742-635
Phone: (563) 659-5042
Fax: (563) 659-5044

The provider's authorized official is Dennis Bousselot .
The authorized official title is Pres and has the following contact phone number (563) 659-5042.

The enumeration date for this NPI number is 8/23/2006 and was last updated on 3/17/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy280IOWAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14108330001MEDICARE NSC
20143404MEDICAIDIOWA
31610167OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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