| NPI | 1114901550 |
|---|---|
| Doing Business As | FALKS SPIRIT VALLEY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | STEVEN PRESTON Owner 218-525-9850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MN 262404) |
| Additional Taxonomies | 333600000X Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2010-07-07 |