| NPI | 1154020733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY DAVID WIGFIELD Senior Director Pharmacy Ops 612-306-2721 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2023-03-02 |
| Last Update Date | 2023-03-02 |