LIEBE DRUG INC
Medical Equipment Supplier Yellow Pages
Graceville, Minnesota
Provider NPI: 1821092867
Organization Information:Organization Name: LIEBE DRUG INC
Practice Location:
318 STUDDART AVE GRACEVILLE, MN 56240 US
Tel: 320-748-7112 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
318 STUDDART AVE GRACEVILLE, MN 56240 US
Tel: 320-748-7112 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 332B00000X | Suppliers Durable Medical Equipment & Medical Supplies | ||
N | 3336L0003X | Suppliers Pharmacy | ||
Y | 3336C0003X | Suppliers Pharmacy | MN | 261630 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
616519200 | MN | 05 | |
NCPDP PROVIDER IDENTIFICATION NUMBER | 2422967 | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin