Organization
ROBERT WASHBURN AND EVA WASHBURN
Active
Other names
MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT WASHBURN RPH (OWNER)
(320) 732-3228
Entity
Organization
Contact information
Practice address
244 CENTRAL AVE, LONG PRAIRIE, MN 56347-1303
(320) 732-3228
(320) 732-3228
Mailing address
244 CENTRAL AVE, LONG PRAIRIE, MN 56347-1303
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
2002925
MN
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2405923
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
11/15/2006
Last updated
03/03/2009
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