Organization
RUSHFORD DRUG CO
Active
Other names
Witt's Pharmacy - Houston
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS E WITT RPH (CEO)
(507) 864-3238
Entity
Organization
Contact information
Practice address
119 E CEDAR ST, HOUSTON, MN 55943-8619
(507) 896-4505
(507) 896-4506
Mailing address
PO BOX 477, HOUSTON, MN 55943-0477
(507) 896-4505
(507) 896-4506
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
114628-0
MN
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
261934-7
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168460400
—
MN
Enumeration date
11/09/2006
Last updated
05/11/2009
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