Organization
THRIFTY DRUG STORES INC
Active
Other names
Thrifty White Pharmacy #789
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY WEIPPERT (CHIEF OPERATING OFFICER)
(763) 585-3507
Entity
Organization
Contact information
Practice address
1703 MADISON AVE, MANKATO, MN 56001-5447
(507) 345-7215
(507) 345-7233
Mailing address
6701 EVENSTAD DR N STE 100, MAPLE GROVE, MN 55369-6013
(763) 513-4300
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
265416
MN
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598282303
—
MN
01
—
2171345
PK
—
Enumeration date
08/23/2017
Last updated
10/29/2024
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