Organization
WHEATON DRUG COMAPNY
Active
Other names
Wheaton Drug Comapny
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NERENZ RPH (PRESIDENT)
(320) 563-4151
Entity
Organization
Contact information
Practice address
1105 BROADWAY, WHEATON, MN 56296-1307
(320) 563-4151
(320) 563-4577
Mailing address
1105 BROADWAY, WHEATON, MN 56296-1307
(320) 563-4151
(320) 563-4577
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
261232
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2045781
PK
—
05
—
215257600
—
MN
05
—
8530410
—
SD
Enumeration date
08/31/2006
Last updated
12/01/2016
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