| NPI | 1568552404 |
|---|---|
| Doing Business As | WHITE DRUG #58 |
| Entity Type | Organization |
| Authorized Contact | ANNE FROISTAD Licensing Coordinator 763-513-4377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ND Phar219) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 333600000X Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2024-10-29 |