| NPI | 1164956645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA EISCHENS Director Of Pharmacy Operations 218-333-5543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 115828) |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2018-05-07 |