Longbella Drug INC

NPI #1063571446 in Staples, Minnesota

Provider Information

NPI Number
1063571446
Entity Type
Organization
Organization Name
Longbella Drug INC
Subpart
Yes (part of a larger organization)
Parent Organization
LONGBELLA DRUG INC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Dec 8, 2006
Last Updated
Jul 22, 2013

Practice Location

Address
49725 COUNTY RD 83
Address 2
SUITE 100
ZIP Code
56479
Phone
(218) 894-8761

Authorized Official

Name
LANI LONGBELLA ROBERTS, RPH
Title
PRESIDENT
Phone
(218) 894-2242

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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