Organization
CANBY DRUG & GIFTS INC
Active
Other names
CANBY DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK ALEXANDER WHITTIER (PRESIDENT/PIC/PHARMACIST)
(507) 829-4169
Entity
Organization
Contact information
Practice address
130 ST. OLAF AVE N, CANBY, MN 56220
(507) 223-5955
(507) 223-5696
Mailing address
130 ST. OLAF AVE N, CANBY, MN 56220
(507) 223-5955
(507) 223-5696
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
260659
MN
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
095860300
—
MN
01
—
2046653
PK
—
05
—
8532830
—
SD
Enumeration date
06/11/2006
Last updated
06/26/2019
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