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MCLD CORPORATION NPI 1184794174


NPI Information

NPI: 1184794174
Provider Name: MCLD CORPORATION

Doing Business As: VILLAGE PHARMACY VICTOR

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
205 WASHINGTON ST
VICTOR, IA
ZIP 52347
Phone: (319) 647-3322
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MCLD CORPORATION is a community/retail pharmacy pharmacy in Victor, 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. MCLD CORPORATION NPI is 1184794174. The provider is registered as an organization entity type.
The provider Is Doing Business As Village Pharmacy Victor.

The provider's business location address is:

205 WASHINGTON ST
VICTOR, IA
ZIP 52347-778
Phone: (319) 647-3322
Fax: (319) 647-2382

The provider's authorized official is Christopher Tuetken .
The authorized official title is Owner and has the following contact phone number (319) 465-4906.

The enumeration date for this NPI number is 11/8/2006 and was last updated on 4/8/2010.


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
2332B00000XDurable Medical Equipment & Medical SuppliesNo
33336C0003XPharmacyCommunity/Retail Pharmacy701IOWAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11604289OTHERNCPDP PROVIDER IDENTIFICATION NUMBER
20543810005MEDICARE NSC
30421313MEDICAIDIOWA

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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