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Organization
THRIFTY DRUG STORES INC
Active
Organization
THRIFTY DRUG STORES INC
Active
Other names
Thrifty White Pharmacy #762
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE BRADER (CFO)
(763) 513-4300
Entity
Organization
Contact information
Practice address
6701 EVENSTAD DR N STE 200, MAPLE GROVE, MN 55369-6013
(763) 463-4400
(763) 463-4495
Mailing address
6701 EVENSTAD DR N STE 100, MAPLE GROVE, MN 55369-6013
(763) 513-4300
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
—
NULL
333600000X
Pharmacy
—
NULL
3336C0004X
Compounding Pharmacy
—
NULL
3336H0001X
Home Infusion Therapy Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
3336S0011X
Specialty Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2049098
PK
—
05
—
36228400
—
WI
05
—
606155000
—
MN
Enumeration date
10/12/2006
Last updated
07/31/2026
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