| NPI | 1013066463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID PARRY President 218-587-3222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MN 261106) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MN 261106) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2017-03-14 |