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Contact Information

MINNESOTA DRUG ACQUISITION CO LLC
103 E 2ND ST
WINTHROP, MN55396
 Phone: 507-647-5351
 Fax: 507-647-6445
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for MINNESOTA DRUG ACQUISITION CO LLC

NPI Number 1700895760
LBN Legal business name MINNESOTA DRUG ACQUISITION CO LLC
Authorized official DEBORAH KEAVENY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/07/2006
Last updated 02/02/2011 - About 15 years ago
Identifiers
MN License # 263194
MN Medicaid 631560700
Other 2409387 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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