| NPI | 1538170048 |
|---|---|
| Doing Business As | MESABA DRUG |
| Entity Type | Organization |
| Authorized Contact | MARY FOSSELL President 218-225-2128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MN 200347) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2009-09-09 |