Organization
SMN INC
Active
Other names
NOBLE DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
STUART NOBLE RPH (PHARMACIST AND OWNER)
(218) 634-1236
Entity
Organization
Contact information
Practice address
111 N MAIN AVE, BAUDETTE, MN 56623-2466
(218) 634-1236
(218) 634-1276
Mailing address
PO BOX 848, BAUDETTE, MN 56623-0848
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
260648
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2046647
PK
—
05
—
895560300
—
MN
Enumeration date
06/16/2005
Last updated
02/16/2017
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