| NPI | 1265581029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID L PILOT CFO 218-828-7642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy (Licence: MN 200543-0) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2023-03-07 |