| NPI | 1528288875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD PETER EHLINGER Director 612-625-1612 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy |
| Additional Taxonomies | 183500000X Pharmacist |
| 183700000X Pharmacy Technician | |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2007-10-15 |