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Organization

WEBER & JUDD CO

Active
Other names
Weber & Judd - South Broadway
Organization subpart
No

Provider details

NPI number
Authorized official
WADE HANSON (OWNER, MANAGER)
(507) 289-1666
Entity
Organization

Contact information

Practice address
18 9TH ST SE, ROCHESTER, MN 55904-6423
(507) 282-1422
(507) 282-1652
Mailing address
1814 15TH ST NW, ROCHESTER, MN 55901-0707
(507) 289-1666
(507) 536-4428

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
264403
MN
3336C0004X
Compounding Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2145864
PK
Enumeration date
05/22/2014
Last updated
07/02/2014
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