Life Rx Inc
Community/Retail Pharmacy
629 6th Ave, De Witt
Iowa, 52742-1635
563-659-5042 563-659-5044
Life Rx Inc is a Community/Retail Pharmacy in De Witt, Iowa. It is located at 629 6th Ave, De Witt and it's customer support contact number is 563-659-5042. The authorized person of Life Rx Inc is Jennifer Walker who is Owner of the pharmacy and his contact number is 563-659-5042. Active license number of Life Rx Inc is 280 for Community/Retail Pharmacy in Iowa. Life Rx Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Life Rx Inc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Life Rx Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Life Rx Inc |
| Type: | Community/Retail Pharmacy |
| Location: | 629 6th Ave, De Witt,
Iowa, 52742-1635 |
| Phone: | 563-659-5042 |
| Fax: | 563-659-5044 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Jennifer Walker |
| Position: | Owner |
| Contact Number: | 563-659-5042 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1255652210 |
| NPI Enumeration Date: | 14 Jun, 2010 |
| NPI Last Update On: | 11 Jan, 2021 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Life Rx Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 280 | Iowa | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Pharmacy | | | Secondary | |
| Compounding Pharmacy | | | Secondary | |
| Long Term Care Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0001270 | Medicaid | Iowa | |
| 2125509 | Other | | Pk |
Medicare Enrollment:
Life Rx Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 4688862238 | O20101222001067 | Life Rx Inc | DME SUPPLIER - PHARMACY |
| 4688862238 | O20110516000367 | Life Rx Inc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Products Available:
Life Rx Inc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Canes & Crutches |
| • Commodes, Urinals, & Bedpans | • Enteral Equipment And/or Supplies |
| • Enteral Nutrients | • Nebulizer Equipment & Supplies |
| • Orthoses: Off-the-shelf | • Orthoses: Prefabricated |
| • Ostomy Supplies | • Surgical Dressings |
| • Urological Supplies | • Walkers |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 629 6th Ave,
De Witt, Iowa |
| Zip: | 52742-1635 |
| Phone Number: | 563-659-5042 |
| Fax Number: | 563-659-5044 |
Patients can reach Life Rx Inc at
629 6th Ave, De Witt, Iowa or can
call on customer care at 563-659-5042.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.