# HERRON PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sumpter Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134808728
- **Authorized official:** LESLIE HERRON RPH (PRESIDENT)
- **Authorized official phone:** (515) 993-1119

## Contact information

- **Practice address:** 628 NILE KINNICK DR S STE 1, ADEL, IA 50003-2071
- **Practice address phone:** (515) 993-1119
- **Mailing address:** 628 NILE KINNICK DR S STE 1, ADEL, IA 50003-2071
- **Mailing address phone:** (515) 993-1119

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 07/12/2023
- **Last updated:** 07/12/2023