# THRIFTY DRUG STORES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Thrifty White Pharmacy \#789
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598282303
- **Authorized official:** ANNE BRADER (CFO)
- **Authorized official phone:** (763) 513-4300

## Contact information

- **Practice address:** 1703 MADISON AVE, MANKATO, MN 56001-5447
- **Practice address phone:** (507) 345-7215
- **Practice address fax:** (507) 519-0929
- **Mailing address:** 6701 EVENSTAD DR N STE 100, MAPLE GROVE, MN 55369-6013
- **Mailing address phone:** (763) 513-4300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 291U00000X | Clinical Medical Laboratory | — | NULL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 265416 | MN | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 08/23/2017
- **Last updated:** 07/31/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1598282303 | — | MN |
| 01 | — | 2171345 | PK | — |