Organization
WEBER & JUDD CO
Active
Other names
Weber & Judd - Marriott Plaza
Organization subpart
No
Provider details
NPI number
Authorized official
WADE HANSON (MANAGER)
(507) 289-1666
Entity
Organization
Contact information
Practice address
101 1ST AVE SW, ROCHESTER, MN 55902-3146
(507) 289-0716
(507) 289-0588
Mailing address
PO BOX 5877, ROCHESTER, MN 55903-5877
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
260543
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2414124
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
259060300
—
MN
Enumeration date
01/17/2007
Last updated
06/20/2012
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