Organization
B E DRUG INC
Active
Other names
Blue Earth Drug-LTC
Organization subpart
No
Provider details
NPI number
Authorized official
GINA ZIERKE (OWNER)
(507) 526-2121
Entity
Organization
Contact information
Practice address
125 S GROVE ST, SUITE 2, BLUE EARTH, MN 56013-2521
(507) 526-2122
(507) 526-2298
Mailing address
125 S GROVE ST, SUITE 2, BLUE EARTH, MN 56013-2521
(507) 526-2122
(507) 526-2298
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
264137
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2136487
PK
—
05
—
283478300
—
MN
Enumeration date
07/17/2012
Last updated
04/28/2017
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