Erickson Drug INC
NPI #1053471292 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1053471292
- Entity Type
- Organization
- Organization Name
- Erickson Drug INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Dec 11, 2006
- Last Updated
- Jul 5, 2012
Practice Location
- Address
- 1583 HAMLINE AVE N
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55108-2139
- Phone
- (651) 646-9645
Authorized Official
- Name
- ROBERT KOZIOL, PHARM D
- Title
- OWNER AND SEC TREAS
- Phone
- (952) 469-2964
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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