NPI | 1396835237 |
---|---|
Doing Business As | WHITE DRUG #55 |
Entity Type | Organization |
Authorized Contact | ANNE FROISTAD Licensing Coordinator 763-513-4377 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ND Phar511) |
Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
332B00000X Durable Medical Equipment & Medical Supplies (Licence: SD 400-1486) | |
333600000X Pharmacy | |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
Enumeration Date | 2006-10-13 |
Last Update Date | 2024-10-29 |