| NPI | 1194100214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA NORD Healthcare Business Partner 612-220-6101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MN 183500000X) |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2015-07-30 |