NPI | 1144385188 |
---|---|
Doing Business As | WESTPARK VILLAGE |
Entity Type | Organization |
Authorized Contact | JOHN B GOODMAN President Of Managing General Patne 952-361-8000 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MT 811) |
Enumeration Date | 2006-12-27 |
Last Update Date | 2008-06-25 |