Organization
MEDICAL SUPPLIES INC
Active
Other names
TRUCARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA SHRIVER (CEO)
(320) 231-2738
Entity
Organization
Contact information
Practice address
320 4TH ST SW STE 1, WILLMAR, MN 56201-3392
(320) 441-7011
(320) 441-7008
Mailing address
312 4TH ST SW STE 3, WILLMAR, MN 56201-3332
(320) 441-7011
(320) 441-7008
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
264712
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2049341
PK
—
Enumeration date
12/20/2007
Last updated
10/09/2019
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