| NPI | 1033521273 |
|---|---|
| Doing Business As | WEBER & JUDD - SOUTH BROADWAY |
| Entity Type | Organization |
| Authorized Contact | WADE HANSON O Wner, Manager 507-289-1666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MN 264403) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2014-07-02 |