Organization
COKATO DRUG LLC
Active
Other names
Cokato Keaveny Drug
Organization subpart
No
Provider details
NPI number
Authorized official
LORI WILLIS (ACQUISITIONS MANAGER)
(641) 366-3440
Entity
Organization
Contact information
Practice address
205 BROADWAY AVE S, COKATO, MN 55321-4681
(320) 286-2380
(320) 286-2619
Mailing address
PO BOX 640, CONRAD, IA 50621-0640
(320) 286-2380
(320) 286-2572
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
01/22/2019
Last updated
07/25/2019
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