NPI | 1508378167 |
---|---|
Doing Business As | PRAIRIECARE |
Entity Type | Organization |
Authorized Contact | JOHN EGAN RYAN General Counsel 763-762-6802 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MN 264804) |
Enumeration Date | 2017-11-03 |
Last Update Date | 2021-04-16 |