# CASEY DRUG-A INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043863723
- **Authorized official:** ALIDA ERIN CASEY PHARMD (PHARMACIST/OWNER)
- **Authorized official phone:** (218) 254-3318

## Contact information

- **Practice address:** 121 W LAKE ST, CHISHOLM, MN 55719-1818
- **Practice address phone:** (218) 254-3318
- **Mailing address:** 121 W LAKE ST, CHISHOLM, MN 55719-1818
- **Mailing address phone:** (218) 254-3318

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 07/22/2019
- **Last updated:** 03/17/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 340560500 | — | MN |