Organization
SCHWARTZWALD DRUG INC.
Active
Other names
PETERS THRIFTY WHITE DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID W PETERS (R PH OWNER)
(218) 631-4050
Entity
Organization
Contact information
Practice address
321 JEFFERSON ST N, WADENA, MN 56482-1372
(218) 631-4050
(218) 631-2726
Mailing address
321 JEFFERSON ST N, WADENA, MN 56482-1372
(218) 631-4050
(218) 631-2726
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2611138
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2412889
NCPDP #
MN
05
—
332728100
—
MN
01
—
85156SC
BCBSMN PROVIDER #
MN
Enumeration date
08/10/2006
Last updated
10/10/2008
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