Organization
MCBE COMPANY
Active
Other names
BYRON MARKETPLACE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ANN MCDONOUGH RPH (ADMIN)
(507) 289-1666
Entity
Organization
Contact information
Practice address
863 HIGH POINT DR NE, BYRON, MN 55920-4406
(507) 775-7634
(507) 775-7636
Mailing address
PO BOX 5877, ROCHESTER, MN 55903-5877
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
262468-8
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295887545
—
MN
01
—
2426612
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
978131500
—
MN
Enumeration date
01/17/2007
Last updated
10/15/2009
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