Longbella Drug Inc

NPI 1063571446 - Pharmacy - 3336C0003X

NPI Details
NPI 1063571446
Enumeration Date 12/08/2006
Last Updated 07/22/2013
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name LANI LANI
Position PRESIDENT
Phone (218) 894-8761
Fax
Practice Location
49725 COUNTY RD 83
SUITE 100
STAPLES MN, 56479, US
Phone (218) 894-8761
Fax
Business Location
49725 COUNTY RD 83
SUITE 100
STAPLES MN, 56479, US
Phone (218) 894-8761
Fax
Toxanomy
Taxonomy Code 3336C0003X
License State Minnesota
License Number 262927
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According to our database, Longbella Drug Inc NPI is 1063571446, taxonomy code is 3336C0003X and license number is 262927, license state is located at Minnesota. Longbella Drug Inc physically located at 49725 County Rd 83, Staples MN, 56479. NPI Number 1033115704 has the healthcare provider type.

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1063571446 NPI number is provided on an as is basis without warranty of any kind. 1063571446 is maintained by the National Plan & Provider Enumeration System. The contents of Longbella Drug Inc are for informational purposes only.