Organization
LAGRANGE PHARMACY INC.
Active
Parent organization
LAGRANGE PHARMACY INC.
Other names
LaGrange Pharmacy Urbana
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAGRANGE PHARMACY INC.
Authorized official
DAN ARTHUR LAGRANGE (PRESIDENT)
(319) 560-9336
Entity
Organization
Contact information
Practice address
1002 W MAIN ST, URBANA, IA 52345-9099
(319) 472-4274
Mailing address
111 W 4TH ST, VINTON, IA 52349-1121
(319) 472-4274
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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