Organization Name:  ARENSONS ANNANDALE PHARMACY INC


Practice Location:
43 OAK AVE N  ANNANDALE, MN 55302 US
Tel: 320-274-5415  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
N	332B00000X	Suppliers Durable Medical Equipment & Medical Supplies		0179610001
Y	3336C0003X	Suppliers Pharmacy	MN	2609519

Other Provider Identifiers:

Issuer	Number	State	Type
NABP	2403359		01
	201258800	MN	05
DEA	AA4174493		01

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin