| NPI | 1063571446 |
|---|---|
| Doing Business As | LONGBELLA DRUG CLINIC |
| Entity Type | Organization |
| Authorized Contact | LANI LONGBELLA ROBERTS President 218-894-2242 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MN 262927) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2013-07-22 |