Organization
LONGBELLA DRUG INC
Active
Parent organization
LONGBELLA DRUG INC
Other names
LONGBELLA DRUG CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LONGBELLA DRUG INC
Authorized official
LANI LONGBELLA ROBERTS RPH (PRESIDENT)
(218) 894-2242
Entity
Organization
Contact information
Practice address
49725 COUNTY RD 83, SUITE 100, STAPLES, MN 56479
(218) 894-8761
Mailing address
49725 COUNTY RD 83, SUITE 100, STAPLES, MN 56479
(218) 894-8761
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
262927
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2427917
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
12/08/2006
Last updated
07/22/2013
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