| NPI | 1356352868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | L CHARLES SENDELBACH Owner 507-825-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: MN 2610867) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2008-07-01 |