| NPI | 1346593118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE MCCABE Secretary 952-935-1191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2026-05-01 |