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NPI Code Detail

MEDICARE: THRIFTY DRUG STORES INC

MEDICARE: THRIFTY DRUG STORES INC
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
1332B00000XDurable Medical Equipment & Medical Supplies
23336L0003XLong Term Care Pharmacy
3291U00000XClinical Medical Laboratory
43336C0003XCommunity/Retail Pharmacy261151MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
32046394OTHERPK

General Provider Information

NPI Number : 1316036916
Entity Type Code : Organization
Provider Name (Legal Business Name) : THRIFTY DRUG STORES INC
Provider Business Mailing Address
First Line : 6701 EVENSTAD DR N STE 100
Second Line :
City : MAPLE GROVE
State : MN
Zip : 55369-6013
Country : US
Telephone Number : 763-513-4300
Fax Number :
Provider Business Practice Location Address
First Line : 201 HORACE AVE N
Second Line :
City : THIEF RIVER FALLS
State : MN
Zip : 56701-2024
Country : US
Telephone Number : 218-681-2932
Fax Number : 218-681-5041
Authorized Official
Title or Position : CHIEF OPERATING OFFICER
Name : TIMOTHY WEIPPERT
Credential :
Telephone Number : 763-585-3507
Provider Enumeration Date : 10/12/2006
Last Update Date : 10/29/2024

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Directions to “THRIFTY DRUG STORES INC ” Practice Location

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