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KEAVENY PHARMACY INC

Medical Equipment Supplier Yellow Pages

Cokato, Minnesota

Provider NPI: 1861546509

Organization Information:
Organization Name:  KEAVENY PHARMACY INC


Practice Location:
205 BROADWAY AVE S  COKATO, MN 55321 US
Tel: 320-286-5483  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3336C0003XSuppliers
Pharmacy
Community/Retail Pharmacy
MN263708

Other Provider Identifiers:

IssuerNumberStateType
PK213070601
491760000MN05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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