DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LARRY PATRICK COSTELLO

Active

LARRY PATRICK COSTELLO is a Pharmacist healthcare provider located in CLEAR LAKE, Iowa. NPI 1740857184 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · CLEAR LAKE, IA

Registration Details

NPI Number
1740857184
Provider Type
Individual
Gender
Male
NPI Issued
Jun 4, 2021 (5.1586408026697 yrs)
Last Updated
Jun 4, 2021
License
13166 (IA)

Practice Information

Address
4668 N SHORE DR
CLEAR LAKE, IA, 504281275
Browse IA providers · Browse ZIP 50428
Phone
6415290820
Fax
8778144512
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in CLEAR LAKE, IA

Name Credential NPI
BETH ANGELA BENESH RPH 1821436767
MRS. ROBIN LYNN YOUNGE RPH 1770923096
DR. BRITTA ANN LEE PHARMD 1831522101
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.