Organization
WEBER & JUDD CO
Active
Other names
Weber & Judd Nursing Care RX
Organization subpart
No
Provider details
NPI number
Authorized official
WADE HANSON (MANAGER)
(507) 289-1666
Entity
Organization
Contact information
Practice address
1814 15TH ST NW, ROCHESTER, MN 55901-0707
(507) 285-9079
(507) 289-2190
Mailing address
PO BOX 5877, ROCHESTER, MN 55903-5877
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
261295
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2424810
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
491758800
—
MN
05
—
630158400
—
MN
Enumeration date
10/12/2006
Last updated
06/20/2012
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