| NPI | 1386780997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY BENSON Owner 763-755-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MN 2601504) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2007-09-12 |