Warren Pharmacy INC
Pharmacy, Community/Retail Pharmacy in Warren, MN. Organization (NPI-2).
NPI number1871508481
StatusActive
Last updated in NPPESJul 12, 2024
Details
- NPI
- 1871508481
- Entity type
- Organization (NPI-2)
- Legal business name
- Warren Pharmacy INC
- Organization subpart
- No
- Enumeration date
- Jul 30, 2006
- Certification date
- Jul 12, 2024
- Last updated
- Jul 12, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · DME SUPPLIER - PHARMACY
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
| 333600000X | Pharmacy | – | – |
Other names
- Warren Pharmacy (Doing Business As)
Practice location
103 W Johnson AveWarren, MN 56762-1102
Phone 218-745-5481 · Fax 218-745-5482
Mailing address
103 W Johnson AveWarren, MN 56762-1102
Phone 218-745-5481 · Fax 218-745-5482
Authorized official
Shelby Knott
President, Shareholder, Pic
2182895859
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