Kroon Community Drug Inc

Organization Active NPI Community/Retail Pharmacy · Adrian, MN

NPI 1972502102 · NPPES record last updated Jul 3, 2008

Key facts

NPI
1972502102
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
260535 (MN)
Legal business name
KROON COMMUNITY DRUG INC
Practice address
212 Maine Ave
Adrian, MN 56110-0070
Phone
(507) 483-2679
Fax
(507) 483-2173
NPI assigned
Jul 19, 2005
Organization subpart
No

Authorized official

Name
Melvin Kroon
Title
Owner
Phone
(507) 483-2679

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 260535 MN Yes
Long Term Care Pharmacy 3336L0003X
Mail Order Pharmacy 3336M0002X

Addresses

Primary practice location

212 Maine Ave
Adrian, MN 56110-0070

Mailing address

PO Box 70
Adrian, MN 56110-0070

Other identifiers

IdentifierTypeStateIssuer
2414869OtherOTHER ID NUMBER
074860900MedicaidMN

Other names

  • KROON DRUG Doing business as

Other providers in Adrian, MN

All providers in Adrian, MN · Community/Retail Pharmacy in Minnesota

Sources for this page

Verify at the official NPI Registry.