| NPI | 1205054590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS MILEY CEO 218-631-7483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy (Licence: MN 200546-9) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2023-03-07 |