Organization
LENZ-REICKS PHARMACY INC
Active
Other names
MEDICAP PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY JO MILLER RPH (OWNER PHARMACIST)
(712) 469-2214
Entity
Organization
Contact information
Practice address
1224 10TH AVENUE, MANSON, IA 50563
(712) 469-2214
(712) 469-2317
Mailing address
PO BOX 490, MANSON, IA 50563-0490
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
231
IA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0158899
—
IA
01
—
1618923
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
02/27/2007
Last updated
03/07/2023
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