| NPI | 1427471895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAJEDA ABDO Pharmacist In Charge 765-409-7801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MN 264841) |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2015-11-10 |