Casey Drug-A Inc

LBN: Casey Drug-A Inc
Casey Drug-A Inc is an health care organization with primary practice located at 121 W Lake St , Chisholm MN 55719-1818. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Casey Drug-A Inc can be contacted via phone (218) 254-3318, or through Casey, Alida Erin via phone (218) 254-3318.

Contact Information

Primary practice address
121 W Lake St Chisholm MN 55719-1818
Phone: (218) 254-3318
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Casey, Alida Erin PHARMD
Phone: (218) 254-3318

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1043863723
LBN Legal business name Casey Drug-A Inc
DBA Doing business as
Authorized official Casey, Alida Erin PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2019
Last updated Mar 17th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043863723 NPPES
Minnesota MEDICAID 340560500

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