Organization
WHITE DRUG ENTERPRISES INC
Active
Other names
Thrifty White Pharmacy #080
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE FROISTAD (LICENSING COORDINATOR)
(763) 513-4377
Entity
Organization
Contact information
Practice address
2720 S 163RD ST, NEW BERLIN, WI 53151-3610
(262) 780-1910
(262) 780-1914
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
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
9265-42
WI
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033521109
—
WI
01
—
2145927
PK
—
Enumeration date
05/23/2014
Last updated
10/29/2024
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