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Larry Patrick Costello
Pharmacist in Clear Lake, Iowa
NPI 1740857184

Larry Patrick Costello is a Pharmacist based in Clear Lake, IA. Larry Patrick Costello practices in Clear Lake, IA. The NPI Number for Larry Patrick Costello is 1740857184 and holds a License No. 13166 (Iowa).

The current practice location address for Larry Patrick Costello is 4668 N Shore Dr, Clear Lake, IA and can be reached out via phone at 641-529-0820 and via fax at 877-814-4512. You can also correspond with Larry Patrick Costello through the mailing address at 1907 US HIGHWAY 18 E, CLEAR LAKE, IA - 50428-2004 (mailing address contact number: 641-357-5271).

Location: 4668 N Shore Dr, Clear Lake, IA, 50428-2004
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740857184
Provider Name
Larry Patrick Costello
Credential
Provider Entity Type
Individual
Gender
Male
Address
4668 N Shore Dr, Clear Lake, IA, 50428-2004
Phone Number
641-529-0820
Fax Number
877-814-4512
Provider Enumeration Date
06/04/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4668 N Shore Dr
City
Clear Lake
State
Iowa
Zip
50428-1275
Phone Number
641-529-0820
Fax Number
877-814-4512
person
Provider Business Mailing Address Details
Address
4668 N Shore Dr
City
Clear Lake
State
Iowa
Zip
50428-1275
Phone Number
641-529-0820
Fax Number
877-814-4512
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
13166 (Iowa)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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