| NPI | 1184723611 |
|---|---|
| Doing Business As | IVERSON CORNER DRUG |
| Entity Type | Organization |
| Authorized Contact | RYAN OKERLUND President 218-444-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MN 260693) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2022-10-24 |