| NPI | 1417056698 |
|---|---|
| Other Name | CPMG-ANDOVER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JOHN LOUIS WEIR Executive Director 763-586-5877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: MN 261566-8) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2023-03-07 |