NPI | 1376783225 |
---|---|
Doing Business As | THRIFTY WHITE PHARMACY #774 |
Entity Type | Organization |
Authorized Contact | TIMOTHY WEIPPERT Chief Operating Officer 763-585-3507 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MN 263332) |
Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
332B00000X Durable Medical Equipment & Medical Supplies | |
333600000X Pharmacy | |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
Enumeration Date | 2009-03-04 |
Last Update Date | 2024-10-29 |