Organization
LAGRANGE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAN ARTHUR LAGRANGE (PRESIDENT)
(319) 560-9336
Entity
Organization
Contact information
Practice address
111 W 4TH ST, VINTON, IA 52349
(319) 472-4274
(319) 472-4266
Mailing address
111 W 4TH ST, VINTON, IA 52349-1121
(319) 472-4274
(319) 472-4266
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
9
IA
3336C0003X
Community/Retail Pharmacy
Primary
9
IA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0078352
—
IA
01
—
1601384
NABP
—
Enumeration date
10/19/2006
Last updated
02/01/2024
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