Clear Lake Pharmacy

LBN: Mr Pharmacy Llc
Clear Lake Pharmacy is an health care organization with primary practice located at 560 Us Highway 18 E , Clear Lake IA 50428-1439. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Mr Pharmacy Llc can be contacted via phone (641) 357-1522, or through Anderson, Rockford via phone (641) 357-1522.

Contact Information

Primary practice address
560 Us Highway 18 E Clear Lake IA 50428-1439
Phone: (641) 357-1522
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Rockford
Phone: (641) 357-1522

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1134431984
LBN Legal business name Mr Pharmacy Llc
DBA Doing business as Clear Lake Pharmacy
Authorized official Anderson, Rockford
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 2010
Last updated Sep 12th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134431984 NPPES
Iowa MEDICAID 0206234

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