| NPI | 1457386245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY R JACOBSON CEO 218-740-2330 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MN 261320-4) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2010-05-14 |