| NPI | 1295025864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELIZABETH JOHNSON Central Pharmacy, Pharmacist Senior 612-548-5962 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: MN 349679) |
| Enumeration Date | 2011-04-15 |
| Last Update Date | 2019-03-19 |