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Dewitt Pharmacy Inc — NPI 1205847340, Dewitt, IA | NPI Central

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NPI 1205847340

OrganizationActive

Dewitt Pharmacy Inc

NPI 1205847340 · Long Term Care Pharmacy · Dewitt, IA

Provider details

NPI number: 1205847340
Entity type: Organization
Primary specialty: Long Term Care PharmacySuppliers
Organization subpart: No
Authorized official: Dennis Bousselot, President(563) 659-5042
License: 1212 (IA)

Specialties & taxonomies

Long Term Care PharmacyPrimary3336L0003X
Suppliers
Pharmacy333600000XLicense 1212 (IA)
Suppliers

Practice location

609 7th Ave

Dewitt, IA 52742

Phone: (563) 659-5041

Approximate (ZIP-level) locationGet directions

More IA providers

Mailing address

609 7th Ave

Dewitt, IA 52742

Other names (DBA / former)

Doing business as: Dewitt Pharmacy Inc

Registry dates

Enumerated: 2006-08-11
Last updated: 2007-08-28

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.