| NPI | 1063087922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS BECKMANN Pharmacist In Charge 952-938-2719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2021-05-24 |