Organization
THRIFTY DRUG STORES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY WEIPPERT (CHIEF OPERATING OFFICER)
(763) 585-3507
Entity
Organization
Contact information
Practice address
2018 15TH ST NW, ROCHESTER, MN 55901-0716
(507) 281-1676
(507) 281-2953
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
—
—
333600000X
Pharmacy
265196
MN
3336L0003X
Long Term Care Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2166171
PK
—
Enumeration date
11/04/2016
Last updated
10/29/2024
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