Organization
LONGBELLA DRUG INC
Active
Other names
LONGBELLA DRUG PILLAGER
Organization subpart
No
Provider details
NPI number
Authorized official
LANI LONGBELLA ROBERTS RPH (PRESIDENT)
(218) 894-2242
Entity
Organization
Contact information
Practice address
653 PILLSBURY ST N, SUITE 2, PILLAGER, MN 56473-2543
(218) 746-4321
(218) 746-4316
Mailing address
653 PILLSBURY ST N, SUITE 2, PILLAGER, MN 56473-2543
(218) 746-4321
(218) 746-4316
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2623540
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2048467
PK
—
05
—
751163900
—
MN
Enumeration date
09/14/2006
Last updated
11/15/2016
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