Organization
DRUG EXPRESS PHARMACIES INC
Active
Other names
DRUG EXPRESS AND VARIETY GALORE
Organization subpart
No
Provider details
NPI number
Authorized official
DALE OTTO RPH (OWNER)
(952) 873-6220
Entity
Organization
Contact information
Practice address
1101 1ST ST NE, NEW PRAGUE, MN 56071-2197
(952) 758-5262
(952) 758-5646
Mailing address
1101 1ST ST NE, NEW PRAGUE, MN 56071-2197
(952) 758-5262
(952) 758-5646
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
260974
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099760900
—
MN
01
—
2420519
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/14/2007
Last updated
11/02/2011
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