Organization
MCBE COMPANY
Active
Other names
Weber & Judd - Preston
Organization subpart
No
Provider details
NPI number
Authorized official
WADE HANSON (MANAGER)
(507) 289-1666
Entity
Organization
Contact information
Practice address
136 MAIN ST, PRESTON, MN 55965-1202
(507) 765-2156
(507) 765-2115
Mailing address
PO BOX 5877, ROCHESTER, MN 55903-5877
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
262248
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962554964
—
MN
01
—
2417702
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
450026100
—
MN
Enumeration date
01/18/2007
Last updated
06/22/2012
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