Provider Demographics
NPI:1588175103
Name:L & M PHARMACY CARE
Entity type:Organization
Organization Name:L & M PHARMACY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARM D
Authorized Official - Prefix:
Authorized Official - First Name:MISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:FRENTRESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-546-8005
Mailing Address - Street 1:22 1ST ST NE
Mailing Address - Street 2:
Mailing Address - City:LE MARS
Mailing Address - State:IA
Mailing Address - Zip Code:51031-3547
Mailing Address - Country:US
Mailing Address - Phone:712-540-5807
Mailing Address - Fax:
Practice Address - Street 1:2526 GLENN AVE
Practice Address - Street 2:
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51106-2768
Practice Address - Country:US
Practice Address - Phone:712-224-4070
Practice Address - Fax:712-224-4071
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:L & M PHARMACY CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-10-23
Last Update Date:2018-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336L0003XSuppliersPharmacyLong Term Care PharmacyGroup - Single Specialty