NPI | 1386600641 |
---|---|
Doing Business As | CENTRACARE PHARMACY NORTHWAY |
Entity Type | Organization |
Authorized Contact | KEITH KARSKY COO Rdinator Retail Pharm. Se 320-251-2700 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MN 261081) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-04-25 |
Last Update Date | 2016-07-05 |