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Organization

WHITE DRUG CO OF JAMESTOWN INC

Active
Other names
WHITE DRUG #009
Organization subpart
No

Provider details

NPI number
Authorized official
ANNE FROISTAD (LICENSING COORDINATOR)
(763) 513-4377
Entity
Organization

Contact information

Practice address
2475 32ND AVE S, STE 1, GRAND FORKS, ND 58201-3606
(701) 775-4209
(701) 775-9122
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
332B00000X
Durable Medical Equipment & Medical Supplies
PHAR72
ND
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
263433
MN
3336L0003X
Long Term Care Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1455443 RX
ND
05
1456945 DME
ND
05
1689763294
MN
01
2070741
PK
05
8531130
SD
Enumeration date
10/12/2006
Last updated
10/29/2024
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