| NPI | 1366859936 |
|---|---|
| Doing Business As | PARK NICOLLET PHARMACY TRIA |
| Entity Type | Organization |
| Authorized Contact | DAVID BUSCH Vice President, Pharmacy Operations 952-967-5049 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MN 264497) |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 333600000X Pharmacy | |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2016-07-07 |