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Organization

INTERNATIONAL DRUG INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
COLLEEN HANOVER (OWNER PRESIDENT)
(218) 282-3425
Entity
Organization

Contact information

Practice address
1105 3RD AVE, INTERNATIONAL FALLS, MN 56649-2955
(218) 283-3425
(218) 283-2766
Mailing address
1105 3RD AVE, INTERNATIONAL FALLS, MN 56649-2955
(218) 283-3425
(218) 283-3160

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
2010632
MN
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2405593
OTHER ID NUMBER-COMMERCIAL NUMBER
05
411260100
MN
Enumeration date
08/31/2006
Last updated
06/19/2008
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