# LONGBELLA DRUG INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LONGBELLA DRUG INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750322186
- **Authorized official:** LANI LONGBELLAROBERTS (RPH, PRES)
- **Authorized official phone:** (218) 894-2242

## Contact information

- **Practice address:** 421 2ND AVE NE, STAPLES, MN 56479-2539
- **Practice address phone:** (218) 894-2242
- **Practice address fax:** (218) 894-2013
- **Mailing address:** 421 2ND AVE NE, STAPLES, MN 56479-2539
- **Mailing address phone:** (218) 894-2242
- **Mailing address fax:** (218) 894-2013

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 2003445 | MN | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 06/09/2006
- **Last updated:** 01/06/2017