Healthcare Provider Details
I. General information
NPI: 1669471504
Provider Name (Legal Business Name): D & N ENTERPRISES LTD
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/20/2005
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
601 1ST AVE
PERRY IA
50220-1804
US
IV. Provider business mailing address
601 1ST AVE
PERRY IA
50220-1804
US
V. Phone/Fax
- Phone: 515-465-3464
- Fax: 515-465-7213
- Phone: 515-465-3464
- Fax: 515-465-7213
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | 15352 |
| License Number State | IA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336L0003X |
| Taxonomy | Long Term Care Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
DAVID
ALAN
WRIGHT
Title or Position: PHARMACIST
Credential: RPH
Phone: 515-465-3464