Provider Demographics
NPI:1487671046
Name:DGS-ACQUISITIONS LLC
Entity type:Organization
Organization Name:DGS-ACQUISITIONS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:BICKEL
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:515-255-8642
Mailing Address - Street 1:3425 INGERSOLL AVE
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50312-3915
Mailing Address - Country:US
Mailing Address - Phone:515-255-8642
Mailing Address - Fax:515-255-6099
Practice Address - Street 1:3425 INGERSOLL AVE
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50312-3915
Practice Address - Country:US
Practice Address - Phone:515-255-8642
Practice Address - Fax:515-255-6099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2016-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA15263336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
I20027OtherMEDICARE FLU ROSTER
1603340OtherNCPDP
IA1487671046Medicaid
I1607OtherMEDICARE FLU
IA0076497Medicaid
7556290005Medicare NSC