| NPI | 1083289698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA HENNESSY Chief Pharmacy Officer 651-302-3111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2021-05-25 |