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Organization

LOLED ACOUSTIC TOURS, INC.

Active
Other names
ZUMBROTA MAIN STREET PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL S BRENGMAN R.PH (PRESIDENT)
(507) 732-5311
Entity
Organization

Contact information

Practice address
370 S MAIN ST, ZUMBROTA, MN 55992-1544
(507) 732-5311
Mailing address
370 S MAIN ST, ZUMBROTA, MN 55992-1544
(507) 732-5311

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3336C0003X
Community/Retail Pharmacy
Primary
260692-3
MN
3336L0003X
Long Term Care Pharmacy
260692
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
587760100
MN
Enumeration date
08/01/2006
Last updated
01/22/2016
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