Green Lake Thrifty White Drug Inc
Organization Active NPI Community/Retail Pharmacy · Spicer, MN
NPI 1497832364 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1497832364
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- GREEN LAKE THRIFTY WHITE DRUG INC
- Practice address
- 300 Highway 23 Ste 4
Spicer, MN 56288-9677 - Phone
- (320) 796-2103
- Fax
- (320) 796-4060
- NPI assigned
- Oct 31, 2006
- Organization subpart
- No
Authorized official
- Name
- Thomas Merten
- Title
- Owner
- Phone
- (320) 796-2103
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 2616447 | MN | |
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
300 Highway 23 Ste 4
Spicer, MN 56288-9677
Mailing address
300 Highway 23 Ste 4
Spicer, MN 56288-9677
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2418881 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
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All providers in Spicer, MN · Community/Retail Pharmacy in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.