Healthcare Provider Details

I. General information

NPI: 1801807318
Provider Name (Legal Business Name): BELGRADE DRUG AND HARDWARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 04/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

337 WASHBURN AVE
BELGRADE MN
56312
US

IV. Provider business mailing address

PO BOX 159
BELGRADE MN
56312-0159
US

V. Phone/Fax

Practice location:
  • Phone: 320-254-8286
  • Fax: 320-254-8506
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number261665
License Number StateMN

VIII. Authorized Official

Name: GARY WINTER
Title or Position: OWNER
Credential:
Phone: 800-628-2036