| NPI | 1114016722 |
|---|---|
| Doing Business As | WHITE DRUG #52 |
| Entity Type | Organization |
| Authorized Contact | ANNE FROISTAD Licensing Coordinator 763-513-4377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: IA 3721) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MN 261962) |
| 333600000X Pharmacy (Licence: ND Phar473) | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: SD 400-1115) | |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: WI 63-43) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2021-08-17 |