Organization
MCBE COMPANY
Active
Other names
Weber & Judd - Spring Valley
Organization subpart
No
Provider details
NPI number
Authorized official
WADE HANSON (MANAGER)
(507) 289-1666
Entity
Organization
Contact information
Practice address
503 N PARK DR, SPRING VALLEY, MN 55975-1035
(507) 346-7273
(507) 346-9809
Mailing address
PO BOX 5877, ROCHESTER, MN 55903-5877
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
260755
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841342193
—
MN
01
—
2046802
PK
—
05
—
506760000
—
MN
Enumeration date
01/17/2007
Last updated
07/08/2015
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