Main Street Pharmacy INC

NPI #1851466973 in Osseo, Minnesota

Provider Information

NPI Number: 1851466973
Entity Type: Organization
Organization Name: Main Street Pharmacy INC
Primary Specialty: Pharmacy
Enumeration Date: Nov 22, 2006
Last Updated: Apr 10, 2013

Practice Location

Address: 24 3RD STREET NE
City: Osseo
State: Minnesota
ZIP Code: 55369
Phone: (763) 493-5242

Authorized Official

Name: MR. RANDALL ALVIN HOHBEIN, RPH
Title: OWNER
Phone: (763) 493-5242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X	Primary

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