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Contact Information

MINNESOTA DRUG ACQUISITION CO LLC
207 MAIN ST
PIERZ, MN56364
 Phone: 320-468-6482
 Fax: 320-468-0041
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for MINNESOTA DRUG ACQUISITION CO LLC

NPI Number 1093883605
LBN Legal business name MINNESOTA DRUG ACQUISITION CO LLC
Authorized official DEBORAH KEAVENY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/01/2006
Last updated 08/05/2010 - About 16 years ago
Identifiers
MN License # 263320
MN Medicaid 526058200
Other 2418158 NCPDP PROVIDER IDENTIFICATION NUMBER
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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