| NPI | 1417984865 |
|---|---|
| Doing Business As | PHARMACY DME |
| Entity Type | Organization |
| Authorized Contact | HEIDI G CONRAD Chief Financial Officer 651-254-0933 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MN 331071) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2020-12-03 |