Organization
HAGEL-BOYD PHARMACY INC
Active
Other names
FOSS DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BOYD (OWNER)
(218) 236-7400
Entity
Organization
Contact information
Practice address
420 CENTER AVE STE 33, MOORHEAD, MN 56560-1962
(218) 236-7400
(218) 233-3616
Mailing address
420 CENTER AVE STE 33, MOORHEAD, MN 56560-1962
(218) 236-7400
(218) 233-3616
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2614504
MN
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2411469
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
728758500
—
MN
Enumeration date
01/30/2006
Last updated
05/26/2010
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