NPI | 1477253045 |
---|---|
Doing Business As | ESSENTIA HEALTH DEERWOOD PHARMACY |
Entity Type | Organization |
Authorized Contact | KEVIN BOREN VP Of Finance 218-786-1009 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2023-03-03 |
Last Update Date | 2024-07-03 |