Provider Demographics
NPI:1679515100
Name:TRUMM DRUG INC
Entity type:Organization
Organization Name:TRUMM DRUG INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:FINELY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-763-3111
Mailing Address - Street 1:114 E SOO ST
Mailing Address - Street 2:PO BOX 35
Mailing Address - City:PARKERS PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:56361-4995
Mailing Address - Country:US
Mailing Address - Phone:218-338-2661
Mailing Address - Fax:218-338-2662
Practice Address - Street 1:114 E SOO ST
Practice Address - Street 2:
Practice Address - City:PARKERS PRAIRIE
Practice Address - State:MN
Practice Address - Zip Code:56361-4995
Practice Address - Country:US
Practice Address - Phone:218-338-2661
Practice Address - Fax:218-338-2662
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0004X, 3336L0003X, 3336M0002X, 3336S0011X
MN2654943336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No3336M0002XSuppliersPharmacyMail Order Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN275560200Medicaid
2046646OtherPK
MN275560200Medicaid