| NPI | 1134218738 |
|---|---|
| Doing Business As | THRIFTY NYSTROM DRUG #738 |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY WEIPPERT Chief Operating Officer 763-585-3507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MN 261451) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2019-01-02 |