Organization Name: | ERICKSONS DIVERSIFIED CORPORATION |
NPI Number: | 1306994678 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JACKIE FRANKLIN (ADMINISTRATIVE ASST) |
Mailing Address: | 1213 Gilmore Ave Winona |
State: | MN US |
Postal Code: | 559872474 |
Phone Number: | 5074548635 |
Fax Number: | 5074548640 |
NPI Enumeration Date: | 01/05/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 333600000X |
License Number: | 2606224 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | MN |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |