Organization
CEDERSTROM PHARMACY INC
Active
Other names
CEDERSTROM PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN CEDERTROM (PRES)
(320) 235-7803
Entity
Organization
Contact information
Practice address
1004 1ST ST S, WILLMAR, MN 56201-3510
(320) 235-7803
(320) 235-7807
Mailing address
1004 1ST ST S, WILLMAR, MN 56201-3510
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
260950
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2418312
OTHER ID NUMBER
—
05
—
972860100
—
MN
Enumeration date
11/15/2006
Last updated
06/27/2008
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