Organization
LONGBELLA DRUG INC
Active
Other names
LONGBELLA DRUG MOTLEY
Organization subpart
No
Provider details
NPI number
Authorized official
LANI LONGBELLAROBERTS (RPH PRES)
(218) 352-6337
Entity
Organization
Contact information
Practice address
1233 HIGHWAY 10 S, MOTLEY, MN 56466-8210
(218) 352-6337
(218) 352-6904
Mailing address
1233 HIGHWAY 10 S, MOTLEY, MN 56466-8210
(218) 352-6337
(218) 352-6904
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
261537
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028712100
—
MN
01
—
2047847
PK
—
Enumeration date
06/22/2006
Last updated
02/14/2017
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