Healthcare Provider Details

I. General information

NPI: 1801192950
Provider Name (Legal Business Name): NEW RICHLAND DRUG PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2011
Last Update Date: 04/11/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1615 W MAIN ST STE B
ALBERT LEA MN
56007-1868
US

IV. Provider business mailing address

1615 W MAIN ST STE B
ALBERT LEA MN
56007-1868
US

V. Phone/Fax

Practice location:
  • Phone: 507-377-1062
  • Fax:
Mailing address:
  • Phone: 507-377-1062
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number263632
License Number StateMN

VIII. Authorized Official

Name: CURT CLARAMBEAU
Title or Position: PHARMACIST/OWNER
Credential:
Phone: 507-402-0577