Organization
JOHN'S RX DRUG, INC
Active
Other names
John's Rx Drug
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA C. SCHLEPPENBACH-GROGAN PHARM.D. (CO-OWNER)
(507) 629-3801
Entity
Organization
Contact information
Practice address
131 3RD ST, TRACY, MN 56175-1211
(507) 629-3801
(507) 629-4694
Mailing address
131 3RD ST, TRACY, MN 56175-1211
(507) 629-3801
(507) 629-4694
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
201215
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
401360300
—
MN
Enumeration date
01/23/2008
Last updated
03/18/2009
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