Organization
SWARD-KEMP DRUG CO OF OLIVIA INC
Active
Other names
Page Snyder Drug
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN SCOTT NELSON PHARMD (PRESIDENT)
(507) 637-2911
Entity
Organization
Contact information
Practice address
801 EAST DEPUE AVENUE, OLIVIA, MN 56277
(320) 523-2110
(320) 523-2113
Mailing address
PO BOX 128, OLIVIA, MN 56277
(320) 523-2110
(320) 523-2113
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
262343
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47258PA
BLUE CROSS BLUE SHIELD
MN
05
—
670123000
—
MN
Enumeration date
02/16/2007
Last updated
05/27/2015
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