Organization
IVANHOE FAMILY PHARMACY, INC
Active
Other names
Ivanhoe Family Pharmcy
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA ELLEN ROST PHARM. D. (PHARMACIST OWNER)
(507) 694-1166
Entity
Organization
Contact information
Practice address
366 E GEORGE ST, SUITE 1, IVANHOE, MN 56142-9707
(507) 694-1166
(507) 694-1167
Mailing address
366 E GEORGE ST, SUITE 1, IVANHOE, MN 56142-9707
(507) 694-1166
(507) 694-1167
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
262925
MN
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
716150000
—
MN
Enumeration date
12/27/2006
Last updated
01/11/2019
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