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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