Les & Maxine Wolff Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

262146 Issued in MN

Legal business name

LES & MAXINE WOLFF INC

Doing business as

Wolff's Mushel Drug

Practice address

101 1St St SE
Little Falls, MN 56345-3001

Phone

(320) 632-6645

Fax

(320) 632-6273

NPI assigned

Dec 19, 2006

Organization subpart

Yes

Parent organization

LES & MAXINE WOLFF INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Leslie Elmer Wolff, RPH

Title

President

Phone

(320) 632-6645

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Wolff's Mushel Drug Doing business as

Part of

Les Maxine Wolff Inc

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Mary Hagen, PHRMD

  • Pharmacist
  • Little Falls, MN
  • NPI 1700978020
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227657600000",
    "number": "1285797407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 1ST ST SE",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563453001",
            "telephone_number": "320-632-6645",
            "fax_number": "320-632-6273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 1ST ST SE",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563453001",
            "telephone_number": "320-632-6645",
            "fax_number": "320-632-6273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LES & MAXINE WOLFF INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LES & MAXINE WOLFF INC",
        "enumeration_date": "2006-12-19",
        "last_updated": "2008-11-26",
        "status": "A",
        "authorized_official_last_name": "WOLFF",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "ELMER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "320-632-6645",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MN",
            "license": "2621461",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MN",
            "license": "262146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "2424808",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "366098200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wolff's Mushel Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Little Falls, MN
• Providers in Little Falls, MN by specialty
• Pharmacy in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.