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Organization
CASEY DRUG-A INC
Active
Organization
CASEY DRUG-A INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALIDA ERIN CASEY PHARMD (PHARMACIST/OWNER)
(218) 254-3318
Entity
Organization
Contact information
Practice address
121 W LAKE ST, CHISHOLM, MN 55719-1818
(218) 254-3318
Mailing address
121 W LAKE ST, CHISHOLM, MN 55719-1818
(218) 254-3318
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340560500
—
MN
Enumeration date
07/22/2019
Last updated
03/17/2022
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