Organization
THRIFTY DRUG STORES, INC.
Active
Other names
Thrifty White Pharmacy #790
Organization subpart
No
Provider details
NPI number
Authorized official
MARK BASCO (CFO, SECRETARY & TREASURER)
(763) 513-4345
Entity
Organization
Contact information
Practice address
105 1ST ST S, OLIVIA, MN 56277-2442
(320) 523-2110
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
Primary
PENDING
—
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
01/09/2018
Last updated
10/29/2024
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