| NPI | 1568804367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HALEY HOLTAN Ambulatory Pharmacist Manager 612-873-6311 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 264154) |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2013-07-22 |