Keaveny Ltc Pharmacy #210

LBN: Minnesota Drug Acquisition Co Llc
Keaveny Ltc Pharmacy #210 is an health care organization with primary practice located at 201 Broadway Ave S , Cokato MN 55321-4681. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Minnesota Drug Acquisition Co Llc can be contacted via phone (320) 286-5129, or through Keaveny, Deborah via phone (612) 227-7811.

Contact Information

Primary practice address
201 Broadway Ave S Cokato MN 55321-4681
Phone: (320) 286-5129
Fax: (320) 286-5434
Website:
Map and Directions
Authorized official contact:
Name: Keaveny, Deborah
Phone: (612) 227-7811

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X 263430 Minnesota

Profile Details

NPI number 1164653317
LBN Legal business name Minnesota Drug Acquisition Co Llc
DBA Doing business as Keaveny Ltc Pharmacy #210
Authorized official Keaveny, Deborah
Entity Organization
Organization subpart 1 No
Enumeration date Aug 6th, 2009
Last updated Mar 14th, 2013 - about 12 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 1164653317 NPPES
Other 2429858 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 116453317 NCPDP PROVIDER IDENTIFICATION NUMBER

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