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General NPI Number Information
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NPI Number | 1487690848
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Entity Type | Organization
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Legal Business Name | HERRMANN DRUG INC
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 06/23/2016
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Provider Practice Location Address
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Address Line | 744 ASH ST NE
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City | LONSDALE
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State | MN
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Zip | 55046-9622
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Country | US
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Telephone | 507-744-3373
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Fax | 507-744-3374
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Provider Business Mailing Address
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Address Line | 744 ASH ST NE
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City | LONSDALE
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State | MN
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Zip | 55046-9622
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Country | US
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Telephone | 507-744-3373
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Fax | 507-744-3374
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Authorized Official
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Title or Position | PRESIDENT
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Name | TROY RABENBERG
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Credential | RPH
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Telephone | 507-364-7717
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 262685
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License Number State | MN
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