Organization
J & R REXALL DRUG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MARCOVICH (OWNER)
(507) 235-9719
Entity
Organization
Contact information
Practice address
107 DOWNTOWN PLZ, FAIRMONT, MN 56031-1726
(507) 235-9719
(507) 235-9696
Mailing address
107 DOWNTOWN PLZ, FAIRMONT, MN 56031-1726
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2049412
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2402701
OTHER ID NUMBER
—
05
—
384757800
—
MN
Enumeration date
08/12/2006
Last updated
06/18/2008
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