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NPI Code Detail

MEDICARE: MCBE COMPANY

MEDICARE: MCBE COMPANY
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
1333600000XPharmacy
23336C0003XCommunity/Retail Pharmacy260915MN

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
32420343OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number : 1750433009
Entity Type Code : Organization
Provider Name (Legal Business Name) : MCBE COMPANY
Provider Business Mailing Address
First Line : PO BOX 5877
Second Line :
City : ROCHESTER
State : MN
Zip : 55903-5877
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 401 W 4TH ST
Second Line :
City : SAINT CHARLES
State : MN
Zip : 55972-2127
Country : US
Telephone Number : 507-932-3160
Fax Number : 507-932-5911
Authorized Official
Title or Position : MANAGER
Name : WADE HANSON
Credential :
Telephone Number : 507-289-1666
Provider Enumeration Date : 01/17/2007
Last Update Date : 06/20/2012

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Directions to “MCBE COMPANY ” Practice Location

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