Organization
MITCHELL COUNTY PHARMACIES LLC
Active
Other names
St. Ansgar Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GINA GODDARD (TREASURER)
(641) 732-6086
Entity
Organization
Contact information
Practice address
140 W 4TH ST STE 3A, SAINT ANSGAR, IA 50472-1356
(641) 713-4381
Mailing address
PO BOX 309, 140 WEST 4TH STREET SUITE 3A, SAINT ANSGAR, IA 50472-0309
(641) 713-4381
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Enumeration date
10/18/2023
Last updated
12/21/2023
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