Ltc Prescription Providers INC

NPI #1962571810 in Proctor, Minnesota

Provider Information

NPI Number
1962571810
Entity Type
Organization
Organization Name
Ltc Prescription Providers INC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Nov 7, 2006
Last Updated
Jul 27, 2022

Practice Location

Address
220 3RD AVE
ZIP Code
55810-1617
Phone
(218) 628-9368

Authorized Official

Name
PHILIP HOMMERDING, PHARMD
Title
OWNER
Phone
(218) 628-9368

Specialties & Taxonomy Codes

Specialty
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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