IndividualActive
Larry Costello
NPI 1740857184 · Pharmacist · Clear Lake, IA
Larry Costello is a Pharmacist provider in Clear Lake, IA (NPI 1740857184).
Provider details
- NPI number
- 1740857184
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 13166 (IA)
Practice location
4668 N Shore Dr
Clear Lake, IA 50428-1275
Phone: (641) 529-0820
Fax: (877) 814-4512
Approximate (ZIP-level) locationGet directions
Mailing address
1907 US Highway 18 E
Clear Lake, IA 50428-2004
Registry dates
- Enumerated
- 2021-06-04
- Last updated
- 2021-06-04
- Certified
- 2021-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.