Organization
THRIFTY DRUG STORES INC
Active
Other names
Thrifty White Pharmacy #780
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY WEIPPERT (CHIEF OPERATING OFFICER)
(763) 585-3507
Entity
Organization
Contact information
Practice address
310 LAKE ST NE, WARROAD, MN 56763-2303
(218) 386-2050
(218) 386-2054
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
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
263766
MN
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2131937
PK
—
05
—
485413000
—
MN
Enumeration date
09/15/2011
Last updated
10/29/2024
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