Organization
CARLSON DRUG INC
Active
Other names
CARLSON DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CARLSON (PHCY OWNER)
(320) 839-6102
Entity
Organization
Contact information
Practice address
147 2ND ST NW, ORTONVILLE, MN 56278-1408
(320) 839-6102
(320) 839-3985
Mailing address
147 2ND ST NW, ORTONVILLE, MN 56278-1408
(320) 839-6102
(320) 839-3985
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
262145
MN
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2045042
PK
—
05
—
350511100
—
MN
05
—
8530150
—
SD
Enumeration date
07/22/2006
Last updated
09/19/2025
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