Organization
LAMONI VARSITY DRUG
Active
Other names
Varisty Drug
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY PHILLIPS PHARMACIST (OWNER)
(641) 784-6322
Entity
Organization
Contact information
Practice address
101 E MAIN ST, LAMONI, IA 50140-1241
(641) 784-6322
(641) 784-6415
Mailing address
101 E MAIN ST, LAMONI, IA 50140-1241
(641) 784-6322
(641) 784-6415
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
486
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0427393
—
IA
05
—
600127005
—
MO
Enumeration date
10/31/2006
Last updated
01/09/2008
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