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Organization

HINCKLEY DRUG LLC

Active
Other names
Hinckley Drug,LLC
Organization subpart
No

Provider details

NPI number
Authorized official
DEANNA CAZA (OWNER)
(320) 384-6166
Entity
Organization

Contact information

Practice address
121 MAIN ST, HINCKLEY, MN 55037
(320) 384-6166
(320) 384-0016
Mailing address
PO BOX 130, HINCKLEY, MN 55037-0130
(320) 384-6166
(320) 384-0016

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
263569
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2127348
PK
05
690-727-000
MN
Enumeration date
02/16/2007
Last updated
01/13/2014
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