Organization
EAGLE DRUG OF ROCHESTER INC
Active
Other names
EAGLE DRUG OF ROCHESTER INC
Organization subpart
No
Provider details
NPI number
Authorized official
WARREN WILLIAMS (OWNER)
(507) 289-3141
Entity
Organization
Contact information
Practice address
23 2ND ST SW, ROCHESTER, MN 55902-3017
(507) 289-3141
(507) 289-6848
Mailing address
23 2ND ST SW, ROCHESTER, MN 55902-3017
(507) 289-3141
(507) 289-6848
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2012371
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141757600
—
MN
01
—
2407737
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/03/2007
Last updated
12/07/2011
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