Organization
THRIFTY DRUG STORES, INC.
Active
Other names
Thrifty White Pharmacy #781
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY WEIPPERT (CHIEF OPERATING OFFICER)
(763) 585-3507
Entity
Organization
Contact information
Practice address
50 MINNESOTA AVE, BRECKENRIDGE, MN 56520-1938
(218) 643-3871
(218) 643-1459
Mailing address
6701 EVENSTAD DR N STE 100, MAPLE GROVE, MN 55369-6013
(763) 513-4300
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
PHAR578
ND
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1455851 RX
—
ND
05
—
1982954129
—
MN
05
—
1982954129
—
SD
01
—
2136962
PK
—
01
—
265815
MN BOP
MN
Enumeration date
09/14/2012
Last updated
10/29/2024
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