Wheaton Drug Comapny
Organization Active NPI Community/Retail Pharmacy · Wheaton, MN
NPI 1710099718 · NPPES record last updated Dec 1, 2016
Key facts
- NPI
- 1710099718
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 261232 (MN)
- Legal business name
- WHEATON DRUG COMAPNY
- Practice address
- 1105 Broadway
Wheaton, MN 56296-1307 - Phone
- (320) 563-4151
- Fax
- (320) 563-4577
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
Authorized official
- Name
- John Nerenz, RPH
- Title
- President
- Phone
- (320) 563-4151
Practitioners 2
-
Alex Besey, PHARMD
-
Joshua Dozak, PHARMD
National Provider Directory
Locations
1105 Broadway
Wheaton, MN 56296
Phone (320) 563-4151
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 261232 | MN | Yes |
Addresses
Primary practice location
1105 Broadway
Wheaton, MN 56296-1307
Mailing address
1105 Broadway
Wheaton, MN 56296-1307
Phone (320) 563-4151
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2045781 | Other | PK | |
| 215257600 | Medicaid | MN | |
| 8530410 | Medicaid | SD |
Other names
- Wheaton Drug Comapny
Other providers in Wheaton, MN
- Elizabeth Nicole Thelin
- Traverse Care Center - Wheaton Community Hospital Jpa
- Traverse County Social Services
- Carrie Ann Uriell-Unruh
- Johnathan Wermers
- Sarah Marie Young
All providers in Wheaton, 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 Dec 1, 2016. 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.