Provider Demographics
NPI:1942634498
Name:L & M PHARMACY CARE
Entity Type:Organization
Organization Name:L & M PHARMACY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHARMD
Authorized Official - Prefix:
Authorized Official - First Name:MISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:FRENTRESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-540-2524
Mailing Address - Street 1:22 1ST ST NE
Mailing Address - Street 2:SUITE A
Mailing Address - City:LE MARS
Mailing Address - State:IA
Mailing Address - Zip Code:51031-3547
Mailing Address - Country:US
Mailing Address - Phone:712-546-8005
Mailing Address - Fax:712-546-8009
Practice Address - Street 1:22 1ST ST NE
Practice Address - Street 2:SUITE A
Practice Address - City:LE MARS
Practice Address - State:IA
Practice Address - Zip Code:51031-3547
Practice Address - Country:US
Practice Address - Phone:712-546-8005
Practice Address - Fax:712-546-8009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-01
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA14763336L0003X, 3336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336L0003XSuppliersPharmacyLong Term Care PharmacyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
2141997OtherPK