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Organization

RIX PHARMACY PA

Active
Other names
RIX PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD PETTY RPH (OWNER)
(320) 760-8471
Entity
Organization

Contact information

Practice address
1525 BROADWAY ST, SUITE 100, ALEXANDRIA, MN 56308-3007
(320) 763-3146
(320) 763-7231
Mailing address
PO BOX 295, ALEXANDRIA, MN 56308-0295
(320) 763-3146
(320) 763-7231

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
262092
MN
3336L0003X
Long Term Care Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2412788
NCPDP PROVIDER IDENTIFICATION NUMBER
05
694757300
MN
Enumeration date
11/15/2006
Last updated
11/09/2010
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