| NPI | 1184786782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD G ANDERSON Owner Rph 218-843-2205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MN 2047142) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2007-09-28 |