Organization
THRIFTY DRUG STORES INC
Active
Other names
Thrifty White Pharmacy #795
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE FROISTAD (LICENSING & CREDENTIALING MANAGER)
(763) 513-4377
Entity
Organization
Contact information
Practice address
421 11TH ST NW STE 100, WADENA, MN 56482-1044
(218) 632-2600
(218) 631-8065
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
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
05/15/2023
Last updated
10/29/2024
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