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Organization
E L ANDERSON CITY DRUG STORE
Active
Organization
E L ANDERSON CITY DRUG STORE
Active
Other names
City Drug
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA LYNN HOOPMAN (OFFICE MANAGER)
(218) 283-3061
Entity
Organization
Contact information
Practice address
314 3RD ST, INTERNATIONAL FALLS, MN 56649
(218) 283-3061
(218) 283-3423
Mailing address
314 3RD ST, PO BOX 111, INTERNATIONAL FALLS, MN 56649
(218) 283-3061
(218) 283-3423
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
200638-7
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2405579
NABP
—
05
—
331260700
—
MN
01
—
70362
BLUE CROSS
—
Enumeration date
07/12/2006
Last updated
06/06/2013
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