Organization
FOSSTON PHARMACY & GIFTS INC
Active
Other names
NORDS PHARMACY AND GIFTS
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH E FONDER PHARM D (PRESIDENT)
(218) 435-6646
Entity
Organization
Contact information
Practice address
115 JOHNSON AVE N, FOSSTON, MN 56542-1327
(218) 435-6646
(218) 435-6493
Mailing address
115 JOHNSON AVE N, FOSSTON, MN 56542-1327
(218) 435-6646
(218) 435-6493
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
260449
MN
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942221999
—
MN
01
—
2044222
PK
—
05
—
21223
—
ND
Enumeration date
07/22/2006
Last updated
03/21/2017
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