| NPI | 1447246921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP HOMMERDING Owner 507-289-3901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MN 2609496) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2017-10-13 |