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NPI Code Detail

MEDICARE: ROLSETH DRUG CO

MEDICARE: ROLSETH DRUG CO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0004XCompounding Pharmacy
2333600000XPharmacy

General Provider Information

NPI Number : 1134083744
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROLSETH DRUG CO
Provider Business Mailing Address
First Line : 30699 LINCOLN RD
Second Line :
City : LINDSTROM
State : MN
Zip : 55045-8083
Country : US
Telephone Number : 651-257-4074
Fax Number : 651-257-0919
Provider Business Practice Location Address
First Line : 30699 LINCOLN RD
Second Line :
City : LINDSTROM
State : MN
Zip : 55045-8083
Country : US
Telephone Number : 651-257-4074
Fax Number : 651-257-0919
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : THOMAS HAAS III
Credential :
Telephone Number : 651-307-5557
Provider Enumeration Date : 12/10/2025
Last Update Date : 12/10/2025

Similar Medicare Providers

1336174853 — ROLSETH DRUG CO
Practice Location Address:
30699 LINCOLN RD
LINDSTROM, MN
55045-8083
Practice Phone: 651-257-4074
Practice Fax: 651-257-0919
1265059075 — ROLSETH DRUG CO
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1295338689 — DR. MICHAEL M LUKKASON PHARMD
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1700477023 — DR. KYLE THIELKE PHARMD
Practice Location Address:
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LINDSTROM, MN
55045-8083
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Practice Fax:
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Practice Location Address:
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1629079983 — MR. MICHAEL A HURSH DDS
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55045
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Directions to “ROLSETH DRUG CO ” Practice Location

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