NPI | 1194070003 |
---|---|
Doing Business As | BLUE EARTH DRUG-LTC |
Entity Type | Organization |
Authorized Contact | GINA ZIERKE Owner 507-526-2121 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MN 264137) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2012-07-17 |
Last Update Date | 2017-04-28 |