| NPI | 1356453351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ARNESS Owner 320-693-9314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: MN 2606499) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2023-03-07 |