Healthcare Provider Details

I. General information

NPI: 1447292016
Provider Name (Legal Business Name): TRUMM DRUG INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2006
Last Update Date: 09/14/2022
Certification Date: 09/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 CENTRAL AVE S
ELBOW LAKE MN
56531-4116
US

IV. Provider business mailing address

PO BOX 240
ELBOW LAKE MN
56531-0240
US

V. Phone/Fax

Practice location:
  • Phone: 218-685-4471
  • Fax: 218-685-5209
Mailing address:
  • Phone: 218-685-4471
  • Fax: 218-685-5209

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number265493
License Number StateMN

VIII. Authorized Official

Name: AARON FINLEY
Title or Position: PRESIDENT
Credential:
Phone: 320-763-3111