Mountain Lake Pharmacy Llc
Community/Retail Pharmacy
1007 3rd Ave, Mountain Lake
Minnesota, 56159-1587
507-427-2707 507-427-2328
Mountain Lake Pharmacy Llc is a Community/Retail Pharmacy in Mountain Lake, Minnesota. It is located at 1007 3rd Ave, Mountain Lake and it's customer support contact number is 507-427-2707. The authorized person of Mountain Lake Pharmacy Llc is Lori Willis who is Acquisitions Manager of the pharmacy and his contact number is 641-366-3440. Active license number of Mountain Lake Pharmacy Llc is 260083 for Community/Retail Pharmacy in Minnesota. Mountain Lake Pharmacy Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Mountain Lake Pharmacy Llc 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.
Pharmacy Details:
Mountain Lake Pharmacy Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Mountain Lake Pharmacy Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 1007 3rd Ave, Mountain Lake,
Minnesota, 56159-1587 |
| Phone: | 507-427-2707 |
| Fax: | 507-427-2328 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Lori Willis |
| Position: | Acquisitions Manager |
| Contact Number: | 641-366-3440 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1689655243 |
| NPI Enumeration Date: | 10 Nov, 2005 |
| NPI Last Update On: | 17 Jan, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mountain Lake Pharmacy Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 260083 | Minnesota | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Pharmacy | | | Secondary | |
| Long Term Care Pharmacy | | | Secondary | |
Medicare Enrollment:
Mountain Lake Pharmacy Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 2264559368 | O20100930096954 | Vernon E Peterson | DME SUPPLIER - PHARMACY |
Products Available:
Mountain Lake Pharmacy Llc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Mail Order | • Blood Glucose Monitors & Supplies: Non-mail Order |
| • Canes & Crutches | • Commodes, Urinals, & Bedpans |
| • Cpap, Rads, & Related Supplies & Accessories | • Diabetic Shoes & Inserts: Prefabricated |
| • Enteral Equipment And/or Supplies | • Enteral Nutrients |
| • Heat & Cold Applications | • Hospital Beds: Electric |
| • Hospital Beds: Manual | • Infrared Heating Pad Systems |
| • Intermittent Positive Pressure Breathing (ippb) Devices | • Nebulizer Equipment & Supplies |
| • Negative Pressure Wound Therapy Pumps & Supplies | • Ostomy Supplies |
| • Oxygen Equipment & Supplies | • Patient Lifts |
| • Power Operated Vehicles (scooters) | • Seat Lift Mechanisms |
| • Support Surfaces: Pressure Reducing Beds, Mattresses, Overlays, & Pads | • Surgical Dressings |
| • Traction Equipment | • Transcutaneous Electrical Nerve Stimulators (tens) Units |
| • Urological Supplies | • Walkers |
| • Wheelchair Seating/cushions | • Wheelchairs & Accessories: Complex Rehabilitative Manual |
| • Wheelchairs & Accessories: Complex Rehabilitative Power | • Wheelchairs & Accessories: Standard Manual |
| • Wheelchairs & Accessories: Standard Power | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 640,
Conrad, Iowa |
| Zip: | 50621-0640 |
| Phone Number: | 641-366-3440 |
| Fax Number: | 641-366-3442 |
Patients can reach Mountain Lake Pharmacy Llc at
1007 3rd Ave, Mountain Lake, Minnesota or can
call on customer care at 507-427-2707.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.