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Organization
CHISAGO DRUG
Active
Organization
CHISAGO DRUG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES M GRAMLING R.PH. (PHARMACIST OWNER)
(651) 257-4950
Entity
Organization
Contact information
Practice address
10655 RAILROAD AVE, CHISAGO CITY, MN 55013-9442
(651) 257-4950
(651) 213-3222
Mailing address
PO BOX 603, CHISAGO CITY, MN 55013-0603
(651) 257-4950
(651) 213-3222
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
2598947
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034257200
—
MN
Enumeration date
08/09/2005
Last updated
09/04/2009
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