Provider Demographics
NPI:1518772029
Name:TRUMM DRUG, INC.
Entity type:Organization
Organization Name:TRUMM DRUG, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:CAITLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:PEDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:320-634-4434
Mailing Address - Street 1:PO BOX 198
Mailing Address - Street 2:
Mailing Address - City:GLENWOOD
Mailing Address - State:MN
Mailing Address - Zip Code:56334-0198
Mailing Address - Country:US
Mailing Address - Phone:320-634-4434
Mailing Address - Fax:
Practice Address - Street 1:7 4TH AVE SE
Practice Address - Street 2:
Practice Address - City:GLENWOOD
Practice Address - State:MN
Practice Address - Zip Code:56334-1879
Practice Address - Country:US
Practice Address - Phone:320-634-4434
Practice Address - Fax:320-634-5632
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRUMM DRUG INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-02-11
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy