| NPI | 1346835964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRI NGU Operating Officer/Owner 507-351-0259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Enumeration Date | 2021-03-05 |
| Last Update Date | 2021-03-05 |