| NPI | 1497296115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD CHERNUGAL Owner 218-759-1222 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MN 122670) |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2017-03-14 |