Organization
ZITNAK PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS GENE ZITNAK RPH (OWNER)
(507) 526-3784
Entity
Organization
Contact information
Practice address
125 S MAIN ST, BLUE EARTH, MN 56013-2008
(507) 526-3784
(507) 526-2699
Mailing address
125 S MAIN ST, BLUE EARTH, MN 56013-2008
(507) 526-3784
(507) 526-2699
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
205091-9
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2403739
NCPDP
—
Enumeration date
08/19/2006
Last updated
11/19/2007
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