Organization
MCLD CORPORATION
Active
Other names
LONG DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER TUETKEN PHARM D (OWNER)
(319) 221-1050
Entity
Organization
Contact information
Practice address
419 E 1ST ST, MONTICELLO, IA 52310-1506
(319) 465-4906
(319) 465-6335
Mailing address
209 2ND ST SE, CEDAR RAPIDS, IA 52401-1405
(319) 221-1050
(319) 221-1033
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
131
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0026955
—
IA
01
—
2025941
PK
—
Enumeration date
10/13/2005
Last updated
08/05/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us