Ericksons Diversified Corporation is not a DME supplier for medicare equipments and products.
Ericksons Diversified Corporation is a Community/Retail Pharmacy in Red Wing, Minnesota. It is located at 623 Main St, Red Wing and it's customer support contact number is 651-388-3589. The authorized person of Ericksons Diversified Corporation is Amy Ellis, RPH who is Director Of Pharmacy of the pharmacy and his contact number is 616-878-2848. Ericksons Diversified Corporation is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Ericksons Diversified Corporation type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Ericksons Diversified Corporation
Type:
Community/Retail Pharmacy
Location:
623 Main St, Red Wing, Minnesota, 55066-2249
Phone:
651-388-3589
Fax:
651-385-9394
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Amy Ellis
Credentials:
RPH
Position:
Director Of Pharmacy
Contact Number:
616-878-2848
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1194873000
NPI Enumeration Date:
08 Jan, 2007
NPI Last Update On:
07 Dec, 2023
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ericksons Diversified Corporation are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
Primary
Pharmacy
2004716
Minnesota
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
331758700
Medicaid
Minnesota
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1527 Momentum Pl, Chicago, Illinois
Zip:
60689-5315
Phone Number:
--
Fax Number:
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Patients can reach Ericksons Diversified Corporation at 623 Main St, Red Wing, Minnesota or can call on customer care at 651-388-3589.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
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