Organization
ST CROIX DRUG COMPANY
Active
Organization
ST CROIX DRUG COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYLE ANDERSON (PRESIDENT)
(651) 439-5030
Entity
Organization
Contact information
Practice address
132 MAIN ST S, STILLWATER, MN 55082-5122
(651) 439-5030
(651) 439-1315
Mailing address
132 MAIN ST S, STILLWATER, MN 55082-5122
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
333600000X
Pharmacy
2010166
MN
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2402799
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/31/2006
Last updated
09/11/2025
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