Provider Demographics
NPI:1275607798
Name:THRONDSET DRUG COMPANY
Entity Type:Organization
Organization Name:THRONDSET DRUG COMPANY
Other - Org Name:THRONDSET PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:RPH/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEANN
Authorized Official - Middle Name:
Authorized Official - Last Name:GRUHLKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-847-3282
Mailing Address - Street 1:PO BOX 7
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MN
Mailing Address - Zip Code:56143-0007
Mailing Address - Country:US
Mailing Address - Phone:507-847-3282
Mailing Address - Fax:507-847-5391
Practice Address - Street 1:908 HIGHWAY 71 N
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MN
Practice Address - Zip Code:56143-1084
Practice Address - Country:US
Practice Address - Phone:507-847-3282
Practice Address - Fax:507-847-5391
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-17
Last Update Date:2013-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2629623336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2047393OtherPK
MN533325300Medicaid
1049860001Medicare NSC