Healthcare Provider Details

I. General information

NPI: 1750384624
Provider Name (Legal Business Name): L&B PHARMACY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2005
Last Update Date: 04/17/2025
Certification Date: 04/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 E 18TH ST
CEDAR FALLS IA
50613
US

IV. Provider business mailing address

103 E 18TH ST
CEDAR FALLS IA
50613
US

V. Phone/Fax

Practice location:
  • Phone: 319-277-1829
  • Fax: 319-277-1870
Mailing address:
  • Phone: 319-277-1829
  • Fax: 319-277-1870

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number1095
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number1095
License Number StateIA
# 3
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number1095
License Number StateIA
# 4
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number1095
License Number StateIA
# 5
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number1095
License Number StateIA
# 7
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number1095
License Number StateIA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier1620132
Identifier TypeOTHER
Identifier StateIA
Identifier IssuerNABP NUMBER
# 2
Identifier0196493
Identifier TypeMEDICAID
Identifier StateIA
Identifier Issuer

VIII. Authorized Official

Name: MR. BRAD J HARMS
Title or Position: OWNER
Credential: RPH
Phone: 319-277-1829