| NPI | 1013951748 |
|---|---|
| Doing Business As | PHAMACY - OUTPATIENT HOSPITAL |
| Entity Type | Organization |
| Authorized Contact | HEIDI G CONRAD Chief Financial Officer 651-254-0933 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2020-12-03 |