Larry Patrick Costello
Pharmacist · Clear Lake, IA
Practice location
4668 N Shore DrClear Lake, IA 50428-1275
- Phone
- (641) 529-0820
- Fax
- (877) 814-4512
NPI record
- NPI
- 1740857184
- Entity type
- Individual (Type 1)
- Enumeration date
- June 4, 2021
- Last updated
- June 4, 2021
- Certified
- June 4, 2021
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X |
13166 | IA |
Mailing address
1907 Us Highway 18 EClear Lake, IA 50428-2004
- Phone
- (641) 357-5271
- Fax
- (877) 814-4512
About Larry Costello
Larry Patrick Costello is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 4668 N Shore Dr, Clear Lake, IA 50428-1275. The NPI number 1740857184 was assigned on June 4, 2021 and the record was last updated on June 4, 2021.
Larry Costello lists a license in the registry: #13166 (IA) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Larry Patrick Costello?
The NPI number is 1740857184.
What is the phone number of Larry Costello?
The phone number listed for the practice location is (641) 529-0820.
Where is Larry Costello located?
4668 N Shore Dr, Clear Lake, IA 50428-1275.
What is the taxonomy code for Larry Costello?
The primary taxonomy code is 183500000X – Pharmacist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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