MEDICARE: HEG-JORG INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	874	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1620067	OTHER	IA	NCPDP #
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972679744
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEG-JORG INC

Provider Business Mailing Address
First Line	:	504 14TH ST
Second Line	:	PO BOX 369
City	:	DALLAS CENTER
State	:	IA
Zip	:	50063-2075
Country	:	US
Telephone Number	:	515-992-3784
Fax Number	:	515-992-4067

Provider Business Practice Location Address
First Line	:	504 14TH ST
Second Line	:
City	:	DALLAS CENTER
State	:	IA
Zip	:	50063-2075
Country	:	US
Telephone Number	:	515-992-3784
Fax Number	:	515-992-4067

Authorized Official
Title or Position	:	PHARMACY MANAGEROWNER
Name	:	MR. STEVEN EDWARD SCHLAFKE
Credential	:	RPH
Telephone Number	:	515-992-4823

Provider Enumeration Date	:	11/25/2006
Last Update Date	:	03/07/2023

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Directions to “HEG-JORG INC ” Practice Location

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