Organization
CASEY DRUG-A INC
Active
Other names
CASEY DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
ALIDA CASEY PHARMD (OWNER/RPH)
(218) 254-3318
Entity
Organization
Contact information
Practice address
121 W LAKE ST, CHISHOLM, MN 55719-1818
(218) 254-3318
(218) 254-7643
Mailing address
121 W LAKE ST, CHISHOLM, MN 55719-1818
(218) 254-3318
(218) 254-7643
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
261315
MN
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2044144
PK
—
05
—
340560500
—
MN
Enumeration date
08/16/2006
Last updated
03/17/2022
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