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Contact Information

THRIFTY WHITE DRUG #759
LBN THRIFTY DRUG STORES INC
319 W MAIN ST
ADA, MN56510
 Phone: 218-784-2434
 Fax: 218-784-2471
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for THRIFTY WHITE DRUG #759

NPI # 1043309651
LBN Legal business name THRIFTY DRUG STORES INC
DBA Doing business as THRIFTY WHITE DRUG #759
Authorized official TIMOTHY WEIPPERT - (CHIEF OPERATING OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/12/2006
Last updated 07/10/2018 - More than a year ago
Identifiers
MN License # 262688
ND License # PHAR674
MN Medicaid 1043309651
ND Medicaid 1456500
Other 2048606 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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