Organization
WEBER & JUDD CO
Active
Other names
Weber & Judd - Clinic Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
WADE HANSON (MANAGER)
(507) 289-1666
Entity
Organization
Contact information
Practice address
210 9TH ST SE, ROCHESTER, MN 55904-6756
(507) 288-2483
(507) 287-1845
Mailing address
PO BOX 5877, ROCHESTER, MN 55903-5877
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
262013
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130143800
—
MN
01
—
2424377
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/17/2007
Last updated
06/20/2012
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