Organization
IVERSON CORNER DRUG INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN E OKERLUND PHARMD (PRESIDENT)
(218) 444-3000
Entity
Organization
Contact information
Practice address
408 MINNESOTA AVE NW, BEMIDJI, MN 56601-3127
(218) 444-3000
(218) 444-6640
Mailing address
408 MINNESOTA AVE NW, BEMIDJI, MN 56601-3127
(218) 444-3000
(218) 444-6640
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
07/15/2022
Last updated
07/15/2022
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