Organization
WHITE DRUG ENTERPRISES INC
Active
Organization
WHITE DRUG ENTERPRISES INC
Active
Other names
Thrifty White Pharmacy #76
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE BRADER (CFO)
(763) 513-4300
Entity
Organization
Contact information
Practice address
702 MONTGOMERY ST, DECORAH, IA 52101-2317
(563) 382-8765
(563) 382-1329
Mailing address
6701 EVENSTAD DR N STE 100, MAPLE GROVE, MN 55369-6013
(763) 513-4300
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1461
IA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871934679
—
IA
01
—
2141190
PK
—
Enumeration date
07/10/2013
Last updated
07/31/2026
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