Organization
KEAVENY KORNER DRUG INC
Active
Other names
Keaveny Korner Drug
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH KEAVENY (PRESIDENT)
(612) 227-7811
Entity
Organization
Contact information
Practice address
110 MAIN ST, CLARA CITY, MN 56222
(320) 847-3784
(320) 847-3787
Mailing address
PO BOX 249, CLARA CITY, MN 56222-0249
(320) 847-3784
(320) 847-3837
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
263978
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2138315
PK
—
Enumeration date
03/15/2007
Last updated
04/25/2013
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