International Drug Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

INTERNATIONAL DRUG INC

Practice address

1105 3Rd Ave
International Falls, MN 56649-2955

Phone

(218) 283-3425

Fax

(218) 283-2766

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Colleen Hanover

Title

Owner President

Phone

(218) 282-3425

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1366554362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 3RD AVE",
            "city": "INTERNATIONAL FALLS",
            "state": "MN",
            "postal_code": "566492955",
            "telephone_number": "218-283-3425",
            "fax_number": "218-283-3160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 3RD AVE",
            "city": "INTERNATIONAL FALLS",
            "state": "MN",
            "postal_code": "566492955",
            "telephone_number": "218-283-3425",
            "fax_number": "218-283-2766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNATIONAL DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "HANOVER",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "218-282-3425"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MN",
            "license": "2010632",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2405593",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "411260100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathi Margaret Henrickson
• Thomas M Herzig, DDS
• Joyce Holliday, OTR
• Shannon Hoshaw, PHARMD
• Independent School District 361
• International Falls Memorial Hospital
• International Falls Memorial Hospital Association
• International Falls Memorial Hospital Association
• International Falls Memorial Hospital Association
• Douglas Allan Johnson

• All providers in International Falls, MN
• Community/Retail Pharmacy in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.