Organization
DOZAK DRUG LLC
Active
Other names
Wheaton Drug and Gifts
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA DOZAK (PRESIDENT)
(320) 563-4151
Entity
Organization
Contact information
Practice address
1105 BROADWAY, WHEATON, MN 56296-1307
(320) 563-4151
(320) 563-4577
Mailing address
1105 BROADWAY, WHEATON, MN 56296-1374
(320) 563-4151
(320) 563-4577
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
265210
MN
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497298954
—
MN
05
—
1497298954
—
SD
01
—
2166638
PK
—
Enumeration date
11/30/2016
Last updated
09/19/2025
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