# WEBER & JUDD CO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Weber & Judd Nursing Care RX
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790874303
- **Authorized official:** WADE HANSON (MANAGER)
- **Authorized official phone:** (507) 289-1666

## Contact information

- **Practice address:** 1814 15TH ST NW, ROCHESTER, MN 55901-0707
- **Practice address phone:** (507) 285-9079
- **Practice address fax:** (507) 289-2190
- **Mailing address:** PO BOX 5877, ROCHESTER, MN 55903-5877

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 261295 | MN | Yes |

## Other

- **Enumeration date:** 10/12/2006
- **Last updated:** 06/20/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2424810 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |
| 05 | — | 491758800 | — | MN |
| 05 | — | 630158400 | — | MN |