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ROLSETH DRUG CO NPI 1336174853


NPI Information

NPI: 1336174853
Provider Name: ROLSETH DRUG CO

Doing Business As: LINDSTROM THRIFTY WHITE PHARMACY

Classification: Pharmacist - 183500000X
Entity Type: Organization

CLIA Number: 24D2230625

Address:
30699 LINCOLN RD
LINDSTROM, MN
ZIP 55045
Phone: (651) 257-4074
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ROLSETH DRUG CO is a pharmacist in Lindstrom, MN. The provider is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. ROLSETH DRUG CO NPI is 1336174853. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Lindstrom Thrifty White Pharmacy.

The provider's business location address is:

30699 LINCOLN RD
LINDSTROM, MN
ZIP 55045-083
Phone: (651) 257-4074
Fax: (651) 257-0919

The provider's authorized official is Matthew Garrison .
The authorized official title is Pic and has the following contact phone number (651) 257-4074.

The CLIA number assigned to this NPI record is 24D2230625 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/12/2006 and was last updated on 7/1/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1183500000XPharmacist2612852MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1602514500MEDICAIDMINNESOTA
20159070003MEDICARE ID-TYPE UNSPECIFIEDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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