| NPI | 1407951353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA SWANSON Director 507-538-1680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: MN 260848) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2019-10-11 |