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:
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:
205 BROADWAY AVE S COKATO, MN 55321 US
Tel: 320-286-5483 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0003X | Suppliers Pharmacy Community/Retail Pharmacy | MN | 263708 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PK | 2130706 | 01 | |
491760000 | MN | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin