Organization
J & L UREVIG INC
Active
Other names
MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA UREVIG PH. TECH (OWNER/PH. TECH)
(218) 326-9639
Entity
Organization
Contact information
Practice address
124 NE 4TH ST, GRAND RAPIDS, MN 55744-2840
(218) 326-9639
(218) 326-6849
Mailing address
124 NE 4TH ST, GRAND RAPIDS, MN 55744-2840
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
2602202
MN
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2416700
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
02/02/2007
Last updated
03/07/2023
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