| NPI | 1215999628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE F LENAGH CFO 952-993-3108 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332H00000X Eyewear Supplier |
| 3336C0002X Pharmacy Clinic Pharmacy | |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2014-10-02 |