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Dewitt Pharmacy Inc

Community/Retail Pharmacy in De Witt, IA · enumerated 2006 · authorized official Dennis Bousselot, Pres.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174630735

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Dewitt Pharmacy Inc
Other name <Unavail>
Practice address 629 6th Ave, De Witt, IA, 52742
Fax (563) 659-5044
Enumeration date Aug 23, 2006
Last updated in NPPES Mar 17, 2010

Taxonomy & classification

333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 280 (IA) Primary

Authorized official

Name Dennis Bousselot
Title Pres

Other identifiers

Identifier Type State Issuer
0143404 Medicaid IA -
1610167 Other - NCPDP PROVIDER IDENTIFICATION NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Dewitt Pharmacy Inc?
NPPES lists Dennis Bousselot (Pres) as the authorized official for this organization.
What is the NPI number for Dewitt Pharmacy Inc?
The NPI for Dewitt Pharmacy Inc is 1174630735, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-03-17.