# CHARLES CITY LONG TERM CARE PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CHARLES CITY LONG TERM CARE PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184802449
- **Authorized official:** BRAD HARMS RPH (OWNER)
- **Authorized official phone:** (319) 277-1829

## Contact information

- **Practice address:** 103 E 18TH ST, CEDAR FALLS, IA 50613-4288
- **Practice address phone:** (641) 228-4137
- **Practice address fax:** (855) 757-4040
- **Mailing address:** 103 E 18TH ST, CEDAR FALLS, IA 50613-4288
- **Mailing address phone:** (641) 228-4137
- **Mailing address fax:** (855) 757-4040

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 1336 | IA | Yes |

## Other

- **Enumeration date:** 02/08/2008
- **Last updated:** 09/26/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1623354 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |