| NPI | 1487069209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA ANN MCGOWAN Pharmacist Supervisor 651-430-4670 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MN 262751) |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2014-07-01 |