| NPI | 1417209438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE MCCABE Secretary 952-935-1191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2026-05-07 |