NPI | 1053342329 |
---|---|
Doing Business As | ESSENTIA HEALTH BRAINERD PHARMACY |
Entity Type | Organization |
Authorized Contact | KEVIN BOREN VP Of Finance 218-786-1009 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy |
Enumeration Date | 2006-07-05 |
Last Update Date | 2024-02-23 |