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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