Mountain Lake Pharmacy LLC
NPI #1689655243 in Mountain Lake, Minnesota
Provider Information
- NPI Number
- 1689655243
- Entity Type
- Organization
- Organization Name
- Mountain Lake Pharmacy LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Nov 10, 2005
- Last Updated
- Jan 17, 2020
Practice Location
- Address
- 1007 3RD AVE
- City
- Mountain Lake
- State
- Minnesota
- ZIP Code
- 56159-1587
- Phone
- (507) 427-2707
Authorized Official
- Name
- LORI WILLIS
- Title
- ACQUISITIONS MANAGER
- Phone
- (641) 366-3440
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy |
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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