Organization
THRIFTY DRUG STORES INC
Active
Other names
THRIFTY WHITE DRUG #759
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE FROISTAD (LICENSING COORDINATOR)
(763) 513-4377
Entity
Organization
Contact information
Practice address
319 W MAIN ST, ADA, MN 56510
(218) 784-2434
(218) 784-2471
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
PHAR674
ND
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
262688
MN
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043309651
—
MN
05
—
1456500
—
ND
01
—
2048606
PK
—
Enumeration date
10/12/2006
Last updated
10/29/2024
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