Organization
GARRISON DRUG
Active
Other names
Garrison Drug
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD HUPPLER (PHAMACIST/OWNER)
(320) 532-3633
Entity
Organization
Contact information
Practice address
27378 STATE HIGHWAY 18, GARRISON, MN 56450-8642
(320) 692-5858
Mailing address
PO BOX 425, GARRISON, MN 56450-0425
(320) 692-5858
(320) 692-5859
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
262747
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2431598
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
588557400
—
MN
Enumeration date
08/28/2012
Last updated
08/28/2012
Update your record
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