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Organization
BRECKENRIDGE DRUG PA
Active
Organization
BRECKENRIDGE DRUG PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI LYNN BEYER RPH (PHARMACIST IN CHARGE)
(218) 643-5411
Entity
Organization
Contact information
Practice address
116 5TH ST N, BRECKENRIDGE, MN 56520-1421
(218) 643-5411
(218) 643-1622
Mailing address
116 5TH ST N, BRECKENRIDGE, MN 56520-1421
(218) 643-5411
(218) 643-1622
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
261997
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135178800
—
MN
05
—
21342
—
ND
01
—
2403830
NABP #
MN
Enumeration date
02/13/2007
Last updated
09/24/2025
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