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Organization

WHITE DRUG ENTERPRISES, INC.

Active
Other names
Thrifty White Pharmacy #079
Organization subpart
No

Provider details

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

Contact information

Practice address
701 W ELM AVE, POCAHONTAS, IA 50574-1439
(712) 335-3119
(712) 335-4145
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
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
1503
IA
3336L0003X
Long Term Care Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1699195628
IA
01
2145660
PK
Enumeration date
04/17/2014
Last updated
10/29/2024
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