Healthcare Provider Details

I. General information

NPI: 1124963251
Provider Name (Legal Business Name): MADELINE LAMSON PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MADDY LAMSON PHARMD

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 W MAIN ST
SAC CITY IA
50583-1726
US

IV. Provider business mailing address

2254 220TH ST
EARLY IA
50535-7519
US

V. Phone/Fax

Practice location:
  • Phone: 712-662-8165
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number18378
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number25179
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: