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Organization

RUSHFORD DRUG CO

Active
Other names
Witt's Pharmacy - LaCrescent
Organization subpart
No

Provider details

NPI number
Authorized official
THOMAS WITT (CEO)
(507) 421-2993
Entity
Organization

Contact information

Practice address
306 MAIN ST # 103, LA CRESCENT, MN 55947-1828
(507) 895-8784
Mailing address
PO BOX 370, RUSHFORD, MN 55971-0370
(507) 864-3238
(507) 864-4207

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
263440
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2429911
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
10/29/2009
Last updated
02/22/2011
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