| NPI | 1104978451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI ROBINSON Director Of Phcy Ops 952-936-2404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MN 262951) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-22 |