NPI | 1114678737 |
---|---|
Doing Business As | THRIFTY WHITE PHARMACY #085 |
Entity Type | Organization |
Authorized Contact | ANNE FROISTAD Licensing COO Rdinator 763-513-4377 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
3336L0003X Pharmacy Long Term Care Pharmacy | |
3336S0011X Pharmacy Specialty Pharmacy | |
Enumeration Date | 2022-01-14 |
Last Update Date | 2022-01-28 |