| NPI | 1437161023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MARCOVICH Owner 507-235-9719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MN 2049412) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2008-06-18 |