Organization
THRIFTY DRUG STORES INC
Active
Other names
Thrifty White Pharmacy #748
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE FROISTAD (LICENSING & CREDENTIALING MANAGER)
(763) 513-4377
Entity
Organization
Contact information
Practice address
216 SEVENTH ST S, WALKER, MN 56484
(218) 547-1016
(866) 939-3319
Mailing address
6701 EVENSTAD DR N, SUITE 100 - LICENSING, MAPLE GROVE, MN 55369-1674
(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
262297
MN
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417047358
—
MN
01
—
2048387
PK
—
Enumeration date
10/13/2006
Last updated
10/29/2024
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