| NPI | 1255625612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA HENNESSY Chief Pharmacy Officer 612-722-4249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: IN 60006256A) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2021-04-26 |