| NPI | 1578034575 |
|---|---|
| Doing Business As | ESSENTIA HEALTH PEQUOT LAKES PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KEVIN BOREN VP Of Finance 218-786-1009 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2024-02-26 |