Organization
MINNESOTA DRUG ACQUISITION CO LLC
Active
Other names
HANSON DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH R KEAVENY RPH (PRESIDENT)
(612) 227-7811
Entity
Organization
Contact information
Practice address
103 E 2ND ST, WINTHROP, MN 55396
(507) 647-5351
(507) 647-6445
Mailing address
102 EAST 2ND STREET, WINTHROP, MN 55396-0000
(507) 647-5351
(507) 647-6445
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
263194
MN
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2409387
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
631560700
—
MN
Enumeration date
08/07/2006
Last updated
02/02/2011
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