| NPI | 1174661169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK TRYGVE SIME Owner 507-725-5241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MN 2054177) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2020-08-22 |