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Organization

ROLSETH DRUG CO

Active
Other names
wyoming drug
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES E GARRISON (PRESIDENT)
(651) 462-2082
Entity
Organization

Contact information

Practice address
26710 FOREST BLVD, WYOMING, MN 55092-8022
(651) 462-2082
Mailing address
26710 FOREST BLVD, PO BOX 584, WYOMING, MN 55092-8022
(651) 462-2082

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
2056641
MN
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
183257300
MN
Enumeration date
06/25/2006
Last updated
01/13/2021
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