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Organization
LOY PFEIFFER INC
Active
Organization
LOY PFEIFFER INC
Active
Other names
Pfeiffer Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY A PFEIFFER RPH (RPH)
(218) 568-4011
Entity
Organization
Contact information
Practice address
30984 GOVERNMENT DRIVE, PEQUOT LAKES, MN 56472
(218) 568-4011
(218) 568-4011
Mailing address
PO BOX 367, 30984 GOVERNMENT DR, PEQUOT LAKES, MN 56472
(218) 568-4011
(218) 568-4011
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
2006853
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
980860400
MN PROVIDER NUMBER
MN
Enumeration date
05/09/2007
Last updated
07/22/2008
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