Organization
ELKO NEW MARKET FAMILY PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW STEVEN PIVEC PHARMD (PHARMACIST/OWNER)
(507) 412-5712
Entity
Organization
Contact information
Practice address
117 OLD TOWN ROAD, ELKO NEW MARKET, MN 55054
(507) 412-5712
(507) 412-8291
Mailing address
117 OLD TOWN ROAD, ELKO NEW MARKET, MN 55054
(507) 412-5712
(507) 412-8291
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
266091
MN BOARD OF PHARMACY
MN
Enumeration date
06/19/2020
Last updated
07/16/2020
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