Organization
LONGBELLA DRUG INC
Active
Other names
LONGBELLA DRUG INC
Organization subpart
No
Provider details
NPI number
Authorized official
LANI LONGBELLAROBERTS (RPH, PRES)
(218) 894-2242
Entity
Organization
Contact information
Practice address
421 2ND AVE NE, STAPLES, MN 56479-2539
(218) 894-2242
(218) 894-2013
Mailing address
421 2ND AVE NE, STAPLES, MN 56479-2539
(218) 894-2242
(218) 894-2013
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
2003445
MN
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2045078
PK
—
05
—
431060800
—
MN
Enumeration date
06/09/2006
Last updated
01/06/2017
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