Organization
W & C APOTHECARY
Active
Other names
The Apothecary
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN G ANDERSON R.PH (OWNER)
(320) 251-0107
Entity
Organization
Contact information
Practice address
165 19TH ST S, SUITE 102, SARTELL, MN 56377-2153
(320) 251-0107
(320) 251-0979
Mailing address
165 19TH ST S, SUITE 102, SARTELL, MN 56377-2153
(320) 251-0107
(320) 251-0979
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
263665
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006360600
—
MN
Enumeration date
11/29/2006
Last updated
03/14/2011
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