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PHARMA340 LLC NPI 1235698564


NPI Information

NPI: 1235698564
Provider Name: PHARMA340 LLC

Doing Business As: COMMUNITY PHARMACY OF LAKE VIEW

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 16D2182944

Address:
1160 3RD ST
LAKE VIEW, IA
ZIP 51450
Phone: (712) 665-8555
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PHARMA340 LLC is a community/retail pharmacy pharmacy in Lake View, IA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. PHARMA340 LLC NPI is 1235698564. The provider is registered as an organization entity type.
The provider Is Doing Business As Community Pharmacy Of Lake View.

The provider's business location address is:

1160 3RD ST
LAKE VIEW, IA
ZIP 51450-612
Phone: (712) 665-8555

The provider's authorized official is Jane Moeller .
The authorized official title is Vice President and has the following contact phone number (712) 830-5443.

The CLIA number assigned to this NPI record is 16D2182944 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/16/2019 and was last updated on 2/13/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336L0003XPharmacyLong Term Care PharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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