Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Larry Patrick Costello

Individual provider Pharmacist · NPI 1740857184

Larry Patrick Costello is a Pharmacist in Clear Lake, Iowa. Licensed in Iowa. Registered with an NPI since 2021.

Licensed in
IA
In the registry since
2021

Practice location Address checks out

4668 N Shore Dr
Clear Lake, IA 50428-1275
Phone: (641) 529-0820
Fax: (877) 814-4512
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 13166 (IA)

Record details

NPI number1740857184
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 4, 2021
Last updated in NPPESJune 4, 2021
Certification dateJune 4, 2021
Mailing address1907 Us Highway 18 E, Clear Lake, IA 50428-2004

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