Organization
MR PHARMACY LLC
Active
Organization
MR PHARMACY LLC
Active
Other names
Clarion Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROCKFORD CHARLES ANDERSON PHARM.D. (OWNER)
(515) 532-6626
Entity
Organization
Contact information
Practice address
210 N MAIN ST, CLARION, IA 50525-1440
(515) 532-6626
(515) 532-3183
Mailing address
210 N MAIN ST, CLARION, IA 50525-1440
(515) 532-6626
(515) 532-3183
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
794
IA
3336L0003X
Long Term Care Pharmacy
794
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0203220
—
IA
Enumeration date
01/24/2007
Last updated
09/12/2011
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