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ST ANTHONY WALL LAKE PHCY
NPI 1821161936
Pharmacy - Community/Retail Pharmacy in Wall Lake, IA

Active since November 16, 2006
311 W 1ST ST, WALL LAKE, IA 51466(712) 664-2801(712) 664-2820 Get Directions Write a Review

NPPES record last updated: July 31, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St Anthony Wall Lake Phcy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST ANTHONY WALL LAKE PHCY (NPI 1821161936) is a healthcare organization registered as a community/retail pharmacy in Wall Lake, Iowa and active in the NPI registry since November 2006. The organization lists Jerry Fleshner, Pharmacist In Charge, as its authorized official.

NPPES Registry Identity

NPI1821161936
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameST ANTHONY WALL LAKE PHARMACY
Location Address311 W 1ST STWall Lake, IA 51466-7014
Mailing Address311 W 1st StWall Lake, IA 51466-7014
Phone(712) 664-2801
Fax(712) 664-2820
Organization SubpartNo
Authorized OfficialJerry FleshnerPharmacist In Charge · (712) 664-2801
Enumeration DateNovember 16, 2006
Last NPPES UpdateJuly 31, 2007
✔ NPI 1821161936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in IA · 966
Definition
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.
Also ListedPharmacyTaxonomy 333600000X
311 W 1ST ST, Wall Lake, IA 51466
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Other Names 1

Doing Business AsSt Anthony Wall Lake Phcy

Other Identifiers 3

Medicare NSC0807030001
Other1617488Other Id Number
Medicaid0104836IA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St Anthony Wall Lake Pharmacy's NPI number?

The NPI number for St Anthony Wall Lake Pharmacy is 1821161936. It was assigned to this organization in the NPPES registry on November 16, 2006. The provider is doing business as St Anthony Wall Lake Phcy.

Where is St Anthony Wall Lake Pharmacy located?

St Anthony Wall Lake Pharmacy is located at 311 W 1st St, Wall Lake, IA 51466. The listed phone number is (712) 664-2801.

What is St Anthony Wall Lake Pharmacy's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for St Anthony Wall Lake Pharmacy was last updated on July 31, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.