| NPI | 1215026828 |
|---|---|
| Doing Business As | WHITE DRUG #39 |
| Entity Type | Organization |
| Authorized Contact | ANNE FROISTAD Licensing Coordinator 763-513-4377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MN 260906) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: ND Phar77) |
| 333600000X Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2021-08-17 |