| NPI | 1164587200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES A. WEICHERT Authorized Official 952-361-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MT PHA-PHR-LIC-458) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2017-11-02 |