Harlane Sue Frazer, RPH
Individual provider Active NPI Pharmacist · Cresco, IA
NPI 1801902010 · NPPES record last updated Nov 21, 2019
Key facts
- NPI
- 1801902010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 15992 (IA)
- Practice address
- 303 2ND Ave SW
Cresco, IA 52136-1843 - Phone
- (563) 547-5111
- NPI assigned
- Aug 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15992 | IA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 15992 | IA | Yes |
Addresses
Primary practice location
303 2ND Ave SW
Cresco, IA 52136-1843
Mailing address
3169 E Bank Rd
Lime Springs, IA 52155-8124
Phone (563) 419-8302
Other providers in Cresco, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.