Provider Demographics
NPI:1326111055
Name:TRUMM DRUG, INC.
Entity Type:Organization
Organization Name:TRUMM DRUG, INC.
Other - Org Name:TRUMM HOME MEDICAL SPECIALTIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ACCOUNTING ASSOCIATE
Authorized Official - Prefix:
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-763-3111
Mailing Address - Street 1:PO BOX 397
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:MN
Mailing Address - Zip Code:56308-0397
Mailing Address - Country:US
Mailing Address - Phone:320-763-3111
Mailing Address - Fax:320-763-0650
Practice Address - Street 1:610 FILLMORE ST
Practice Address - Street 2:SUITE 10
Practice Address - City:ALEXANDRIA
Practice Address - State:MN
Practice Address - Zip Code:56308-1706
Practice Address - Country:US
Practice Address - Phone:320-763-2575
Practice Address - Fax:320-763-2570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-17
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN332BP3500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
9G361TROtherOTHER INSURANCE PROVIDER NUMBER
MN173021500Medicaid
9G361TROtherOTHER INSURANCE PROVIDER NUMBER