Ltc Prescription Providers #2

NPI #1720541337 in Proctor, Minnesota

Provider Information

NPI Number
1720541337
Entity Type
Organization
Organization Name
Ltc Prescription Providers #2
Primary Specialty
Pharmacy - Long Term Care Pharmacy
Enumeration Date
Apr 10, 2019
Last Updated
Mar 14, 2022

Practice Location

Address
220 1/2 THIRD AVENUE
ZIP Code
55810
Phone
(218) 628-9369

Authorized Official

Name
DOUGLAS WHITE, RPH
Title
OFFICER
Phone
(218) 628-9368

Specialties & Taxonomy Codes

Specialty
Pharmacy - Long Term Care PharmacyLong Term Care Pharmacy

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