| NPI | 1093067670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA HENNESSY Chief Pharmacy Officer 612-722-4249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: AZ Y005742) |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2021-04-26 |