Organization
PHILLIP A QUALEY
Active
Other names
ADAMS DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
PHIL QUALEY (OWNER)
(507) 582-3380
Entity
Organization
Contact information
Practice address
11 SW 4TH ST, ADAMS, MN 55909-9688
(507) 582-3380
(507) 582-1024
Mailing address
PO BOX 324, ADAMS, MN 55909-0324
(507) 582-3380
(507) 582-1024
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
259978
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2414403
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
659057800
—
MN
Enumeration date
08/10/2006
Last updated
11/16/2010
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