Organization
LIEBE DRUG, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC MARLO BRANDREIT (PHARMACIST-PHARM D)
(320) 839-3825
Entity
Organization
Contact information
Practice address
146 2ND ST NW, ORTONVILLE, MN 56278-1409
(320) 839-3825
Mailing address
146 2ND ST NW, ORTONVILLE, MN 56278-1409
(320) 839-3825
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
260519-9
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24-18475
NCPDP
—
Enumeration date
06/08/2005
Last updated
08/22/2020
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