| NPI | 1487100095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES A WEICHERT Authorized Official 952-361-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MT 39645) |
| Additional Taxonomies | 3336I0012X Pharmacy, Institutional Pharmacy |
| 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies (Licence: MT 39645) | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2024-02-29 |