| NPI | 1003789611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARHIA MOHAMUD MURSAL Pharmacist 612-986-7845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2025-09-29 |
| Last Update Date | 2025-09-29 |