# MR PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clear Lake LTC Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326351479
- **Authorized official:** ROCKFORD ANDERSON (PHARMD/OWNER)
- **Authorized official phone:** (641) 357-1522

## Contact information

- **Practice address:** 560 US HIGHWAY 18 E, SUITE B, CLEAR LAKE, IA 50428-1439
- **Practice address phone:** (641) 357-1522
- **Mailing address:** 560 US HIGHWAY 18 E, SUITE B, CLEAR LAKE, IA 50428-1439
- **Mailing address phone:** (641) 357-1522

## Taxonomy

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

## Other

- **Enumeration date:** 07/19/2010
- **Last updated:** 09/01/2011