| NPI | 1023563731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAH ANN HEMMINGSEN Owner 218-435-1454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2022-07-21 |