Organization
KAPPES PHARMACEUTICAL LLC
Active
Other names
CROSSLAKE DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN LOUIS KAPPES RPH (OWNER)
(218) 765-3562
Entity
Organization
Contact information
Practice address
14311 GOULD ST, CROSSLAKE, MN 56442-2500
(218) 692-2502
(218) 692-2507
Mailing address
PO BOX 578, 14311 GOULD ST, CROSSLAKE, MN 56442-2500
(218) 692-2502
(218) 692-2507
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
262101-8
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
327156100
—
MN
Enumeration date
01/25/2007
Last updated
11/17/2008
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