# AITKIN PHARMACY SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Thrifty White Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134231590
- **Authorized official:** MR. MATTHEW J HUTERA (CEO)
- **Authorized official phone:** (715) 808-0873

## Contact information

- **Practice address:** 25 2ND STREET, NE, AITKIN, MN 56431
- **Practice address phone:** (218) 927-3754
- **Practice address fax:** (218) 927-6349
- **Mailing address:** 901 4TH STREET, SUITE 170, HUDSON, WI 54016
- **Mailing address phone:** (715) 808-0873
- **Mailing address fax:** (715) 953-4201

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 263647 | MN | Yes |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 263647 | MN | — |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 07/31/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2415443 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |
| 05 | — | 551060100 | — | MN |