# KEAVENY DRUG INC

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

## Provider details

- **NPI number:** 1174092746
- **Authorized official:** DEBORAH KEAVENY (PRESIDENT)
- **Authorized official phone:** (320) 485-2555

## Contact information

- **Practice address:** 150 MAIN AVE W, WINSTED, MN 55395-7872
- **Practice address phone:** (320) 485-2555
- **Practice address fax:** (320) 485-4266
- **Mailing address:** PO BOX 910, WINSTED, MN 55395-0910
- **Mailing address phone:** (320) 485-2555
- **Mailing address fax:** (230) 485-4266

## Taxonomy

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

## Other

- **Enumeration date:** 11/13/2018
- **Last updated:** 11/13/2018