Provider Demographics
NPI:1457590879
Name:H & H APOTHECARIES LLC
Entity Type:Organization
Organization Name:H & H APOTHECARIES LLC
Other - Org Name:CORNERSTONE APOTHECARY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CTO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:DENINGER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH PHD
Authorized Official - Phone:319-259-7556
Mailing Address - Street 1:PO BOX 236
Mailing Address - Street 2:
Mailing Address - City:VAN HORNE
Mailing Address - State:IA
Mailing Address - Zip Code:52346-0236
Mailing Address - Country:US
Mailing Address - Phone:319-228-8100
Mailing Address - Fax:319-228-8101
Practice Address - Street 1:1035 COURT AVE
Practice Address - Street 2:
Practice Address - City:MARENGO
Practice Address - State:IA
Practice Address - Zip Code:52301-1439
Practice Address - Country:US
Practice Address - Phone:319-741-6300
Practice Address - Fax:319-741-6311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-09
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 333600000X
IA13543336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1457590897Medicaid
2119342OtherPK