| NPI | 1487267910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRAVEEN MEKALA Chief Financial Officer 507-266-1557 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2020-08-25 |