Organization
MCBE COMPANY
Active
Other names
Weber & Judd - Stewartville
Organization subpart
No
Provider details
NPI number
Authorized official
WADE HANSON (MANAGER)
(507) 289-1666
Entity
Organization
Contact information
Practice address
220 CENTERTOWN PLAZA, STEWARTVILLE, MN 55976
(507) 533-6883
(507) 533-4076
Mailing address
PO BOX 5877, ROCHESTER, MN 55903-5877
(507) 289-1666
(507) 536-4428
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
263326
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2429567
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/16/2009
Last updated
06/22/2012
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