Organization
WHITE DRUG ENTERPRISES INC
Active
Other names
Thrifty White Pharmacy #74
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE FROISTAD (LICENSING COORDINATOR)
(763) 513-4377
Entity
Organization
Contact information
Practice address
210 N MAIN ST, CLARION, IA 50525-1440
(515) 532-6626
(515) 532-3183
Mailing address
6701 EVENSTAD DR N STE 100, MAPLE GROVE, MN 55369-6013
(763) 513-4300
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1451
IA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275875262
—
IA
01
—
2139549
PK
—
Enumeration date
03/18/2013
Last updated
10/29/2024
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