=====================================================
General NPI Number Information
=====================================================
NPI Number | 1669553475
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DGS-ACQUISITIONS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/18/2006
-----------------------------------------------------
Last Update Date | 08/06/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1819 BEAVER AVE
-----------------------------------------------------
City | DES MOINES
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 50310-3815
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 515-279-4382
-----------------------------------------------------
Fax | 515-255-6079
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1819 BEAVER AVE
-----------------------------------------------------
City | DES MOINES
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 50310-3815
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 515-279-4382
-----------------------------------------------------
Fax | 515-255-6079
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHARMACY DIRECTOR
-----------------------------------------------------
Name | ERIC BICKEL
-----------------------------------------------------
Credential | RPH
-----------------------------------------------------
Telephone | 515-255-8642
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number | 1527
-----------------------------------------------------
License Number State | IA
-----------------------------------------------------