| NPI | 1356618243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY THU VO Technician 763-425-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MN 720810) |
| Enumeration Date | 2011-11-21 |
| Last Update Date | 2011-11-21 |