Organization
MCBE COMPANY
Active
Other names
Weber & Judd - St. Charles
Organization subpart
No
Provider details
NPI number
Authorized official
WADE HANSON (MANAGER)
(507) 289-1666
Entity
Organization
Contact information
Practice address
401 W 4TH ST, SAINT CHARLES, MN 55972-2127
(507) 932-3160
(507) 932-5911
Mailing address
PO BOX 5877, ROCHESTER, MN 55903-5877
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
260915
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750433009
—
MN
01
—
2420343
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
598760100
—
MN
Enumeration date
01/17/2007
Last updated
06/20/2012
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