# WARREN PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Warren Pharmacy LTC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457198608
- **Authorized official:** SHELBY KNOTT (OWNER PHARMACIST)
- **Authorized official phone:** (218) 745-5481

## Contact information

- **Practice address:** 103 W JOHNSON AVE, WARREN, MN 56762-1102
- **Practice address phone:** (218) 745-5481
- **Mailing address:** 103 W JOHNSON AVE, WARREN, MN 56762-1102
- **Mailing address phone:** (218) 745-5481

## Taxonomy

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

## Other

- **Enumeration date:** 07/12/2024
- **Last updated:** 07/12/2024