Ericksons Diversified Llc
Community/Retail Pharmacy
623 Main St, Red Wing
Minnesota, 55066-2249
651-388-3589 651-385-9394
Ericksons Diversified Llc 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 Llc is Amy Ellis, RPH who is Director Of Pharmacy of the pharmacy and his contact number is 616-878-2848.
Ericksons Diversified Llc 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 Llc 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 Llc |
| 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: | 31 Oct, 2025 |
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 Llc 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: | -- |
Patients can reach Ericksons Diversified Llc at
623 Main St, Red Wing, Minnesota or can
call on customer care at 651-388-3589.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.