| NPI | 1053471292 |
|---|---|
| Doing Business As | BLOMBERG PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ROBERT KOZIOL Owner And Sec Treas 952-469-2964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MN 262902) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2012-07-05 |