Organization
MCBE COMPANY
Active
Other names
Weber & Judd - Kasson
Organization subpart
No
Provider details
NPI number
Authorized official
WADE HANSON (MANAGER)
(507) 289-1666
Entity
Organization
Contact information
Practice address
408 W MAIN ST, KASSON, MN 55944-1142
(507) 634-3341
(507) 634-4067
Mailing address
PO BOX 5877, ROCHESTER, MN 55903-5877
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
260356
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942352935
—
MN
01
—
2417500
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
525858800
—
MN
Enumeration date
01/18/2007
Last updated
06/20/2012
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