| NPI | 1285191478 |
|---|---|
| Doing Business As | DIABETES AND RESPIRATORY STORE |
| Entity Type | Organization |
| Authorized Contact | CRAIG BROSSEAU Secretary 952-646-3255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2022-11-11 |