Organization
LARCAM PHARMACY LTD.
Active
Other names
Larry's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARLEEN ANN MILEWSKI (OWNER)
(515) 332-1627
Entity
Organization
Contact information
Practice address
1310 10TH AVE N, BOX 384, HUMBOLDT, IA 50548-1112
(515) 332-1627
(515) 332-4324
Mailing address
1310 10TH AVE N, HUMBOLDT, IA 50548-1112
(515) 332-1627
(515) 332-4324
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
630
IA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0160036
—
IA
01
—
1611640
NABP
IA
Enumeration date
07/25/2006
Last updated
01/14/2019
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