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General NPI Number Information
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NPI Number | 1942634498
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Entity Type | Organization
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Legal Business Name | L & M PHARMACY CARE
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Dates
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Enumeration Date | 09/01/2013
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Last Update Date | 03/27/2018
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Provider Practice Location Address
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Address Line | 22 1ST ST NE SUITE A
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City | LE MARS
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State | IA
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Zip | 51031-3547
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Country | US
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Telephone | 712-546-8005
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Fax | 712-546-8009
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Provider Business Mailing Address
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Address Line | 22 1ST ST NE SUITE A
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City | LE MARS
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State | IA
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Zip | 51031-3547
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Country | US
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Telephone | 712-546-8005
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Fax | 712-546-8009
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Authorized Official
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Title or Position | OWNER/PHARMD
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Name | MISTY FRENTRESS
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Credential |
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Telephone | 712-540-2524
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 1476
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License Number State | IA
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