| NPI | 1407121841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS WUNDERLICH Pharmacist/Owner 320-259-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2025-06-03 |