NPI | 1285621193 |
---|---|
Doing Business As | GERITOM MED INC |
Entity Type | Organization |
Authorized Contact | JASON RYAN WACHTL Vice President 952-854-1190 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MN 261375) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
333600000X Pharmacy | |
Enumeration Date | 2005-10-05 |
Last Update Date | 2020-09-16 |