Organization
THRIFTY DRUG STORES INC
Active
Parent organization
THRIFTY DRUG STORES INC
Other names
Thrifty White Pharmacy #793
Organization subpart
Yes
Provider details
NPI number
Legal business name
THRIFTY DRUG STORES INC
Authorized official
DANA LEE BERG (DIRECTOR AR & BILLING)
(763) 513-4301
Entity
Organization
Contact information
Practice address
1460 MONTREAL ST, HUTCHINSON, MN 55350
(320) 587-2509
(320) 587-0283
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
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0311770084
MEDICARE
—
05
—
1790243046
—
MN
01
—
2434330
NCPDP
—
01
—
265834
MN BOP
MN
Enumeration date
03/06/2019
Last updated
10/29/2024
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