Organization
BRIAN W TRUAX
Active
Other names
Truax Patient Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN W TRUAX RPH (OWNER)
(218) 444-8217
Entity
Organization
Contact information
Practice address
1112 RAILROAD ST SE STE #4, BEMIDJI, MN 56601-4871
(218) 444-8217
(218) 444-2267
Mailing address
1112 RAILROAD ST SE STE #4, BEMIDJI, MN 56601-4871
(218) 444-8217
(218) 444-2267
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
263862
MN
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2135555
PK
—
Enumeration date
06/21/2012
Last updated
01/23/2018
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