Mountain Lake Pharmacy Llc in Conrad - Community/retail Pharmacy
Mountain Lake Pharmacy Llc - NPI 1689655243
Mountain Lake Pharmacy Llc is a Community/retail Pharmacy in Conrad, Iowa. Mountain Lake Pharmacy Llc practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Mountain Lake Pharmacy Llc is 1689655243. The last update date is 2020-01-17.
Mountain Lake Pharmacy Llc's current location address is Po Box 640, Conrad, Iowa. You can contact this provider via phone number 6413663440 and fax number 6413663442. The mailing address for Mountain Lake Pharmacy Llc is Po Box 640, Conrad, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mountain Lake Pharmacy Llc |
|---|---|
| Address | Po Box 640, Conrad, Iowa |
| Phone Number | 6413663440 |
| Fax Number | 6413663442 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ACQUISITIO |
|---|---|
| Authorized Official Name | Willis Lori |
| Telephone Number | 6413663440 |
NPI Number Detail
| NPI Number | 1689655243 |
|---|---|
| Provider Enumeration Date | 2005-11-10 |
| Last Updated Date | 2020-01-17 |
Provider Mailing Address Detail
| Address | Po Box 640 |
|---|---|
| City | Conrad |
| State | Iowa (IA) |
| Post Code | 506210640 |
| Phone Number | 6413663440 |
| Fax Number | 6413663442 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 260083 |
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Definition: 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 pr |
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What is the unique identification code assigned to Mountain Lake Pharmacy Llc by the Centers for Medicare & Medicaid Services?
The Mountain Lake Pharmacy Llc has been issued the NPI (National Provider Identifier) 1689655243. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Mountain Lake Pharmacy Llc is geographically located?
The Mountain Lake Pharmacy Llc is physically situated at the following location: Po Box 640, Conrad, IA, 506210640.
What is the Mountain Lake Pharmacy Llc's specialty and taxonomy code?
The Mountain Lake Pharmacy Llc's specialty is Community/retail Pharmacy, and the corresponding taxonomy code is 3336C0003X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1689655243 to Mountain Lake Pharmacy Llc?
The Centers for Medicare & Medicaid Services originally issued the 1689655243 to Mountain Lake Pharmacy Llc on 2005-11-10.
When was the information pertaining to Mountain Lake Pharmacy Llc most recently updated or revised?
The details related to Mountain Lake Pharmacy Llc, including its address, specialty, and other relevant information, were last updated or revised on 2020-01-17.
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