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Organization

MR PHARMACY LLC

Active
Other names
Clear Lake Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
ROCKFORD ANDERSON (PHARMD/OWNER)
(641) 357-1522
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0206234
IA
Enumeration date
07/09/2010
Last updated
09/12/2011
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