Organization Name: | THRIFTY DRUG STORES INC |
NPI Number: | 1780053876 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TIMOTHY WEIPPERT (EXECUTIVE VP) |
Mailing Address: | 122 Elm Ave E Ste A Waseca |
State: | MN US |
Postal Code: | 560932927 |
Phone Number: | 5078359143 |
Fax Number: | 5078354977 |
NPI Enumeration Date: | 09/18/2015 |
NPI Last Update Date: | 02/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |