Organization
HERRON PHARMACY LLC
Active
Other names
Sumpter Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE HERRON RPH (PRESIDENT)
(360) 420-6401
Entity
Organization
Contact information
Practice address
628 NILE KINNICK DR S STE 1, ADEL, IA 50003-2071
(515) 993-1119
(866) 684-2966
Mailing address
628 NILE KINNICK DR S STE 1, ADEL, IA 50003-2071
(360) 420-6401
(515) 993-1116
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
1645
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0712155
—
IA
Enumeration date
05/15/2018
Last updated
03/03/2023
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