Organization
ESTHERVILLE PHARMACY, L.L.C.
Active
Other names
Estherville Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA OLSEN (OFFICE MANAGER)
(712) 243-2110
Entity
Organization
Contact information
Practice address
1804 CENTRAL AVE, ESTHERVILLE, IA 51334-2465
(712) 362-0330
(712) 362-0331
Mailing address
1804 CENTRAL AVE, ESTHERVILLE, IA 51334-2465
(712) 362-0330
(712) 362-0331
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1620891
NCPDP
—
Enumeration date
01/12/2007
Last updated
09/08/2020
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