Iverson Corner Drug
LBN: Iverson Corner Drug Inc
Iverson Corner Drug is an health care organization with primary practice located at 408 Minnesota Ave Nw , Bemidji MN 56601-3127. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Iverson Corner Drug Inc can be contacted via phone (218) 444-3000, or through Okerlund, Ryan via phone (218) 444-3000.
Contact Information
Primary practice address
408 Minnesota Ave Nw
Bemidji MN 56601-3127
Phone: (218) 444-3000
Fax: (218) 444-6640
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 260693 | Minnesota |
Profile Details
| NPI number | 1184723611 |
|---|---|
| LBN Legal business name | Iverson Corner Drug Inc |
| DBA Doing business as | Iverson Corner Drug |
| Authorized official | Okerlund, Ryan PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Oct 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184723611 | NPPES |
| Minnesota | MEDICAID | 506060500 | |
| Minnesota | Other | 2046698 |
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