Organization
BREENS PHARMACY INC
Active
Other names
BREENS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
VYKE BREEN RPH (OWNER)
(320) 842-4221
Entity
Organization
Contact information
Practice address
1207 PACIFIC AVE, BENSON, MN 56215-1838
(320) 842-4221
(320) 842-5231
Mailing address
1207 PACIFIC AVE, BENSON, MN 56215-1838
(320) 842-4221
(320) 842-5231
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
205638
MN
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2044125
PK
—
05
—
492757500
—
MN
Enumeration date
09/30/2006
Last updated
10/15/2014
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