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Contact Information

LTC PRESCRIPTION PROVIDERS #2
220 1/2 THIRD AVENUE
PROCTOR, MN55810
 Phone: 218-628-9369
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for LTC PRESCRIPTION PROVIDERS #2

NPI Number 1720541337
LBN Legal business name LTC PRESCRIPTION PROVIDERS #2
Authorized official PHILIP HOMMERDING - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/10/2019
Last updated 02/26/2026 - About 3 months ago
Identifiers
MN Other 266589 MINNESOTAPHARMACYLICENSE
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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