NPI | 1598282303 |
---|---|
Other Name | THRIFTY WHITE PHARMACY #789 |
Entity Type | Organization |
Authorized Contact | TIMOTHY WEIPPERT Chief Operating Officer 763-585-3507 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MN 265416) |
Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
332B00000X Durable Medical Equipment & Medical Supplies | |
333600000X Pharmacy | |
3336S0011X Pharmacy, Specialty Pharmacy | |
Enumeration Date | 2017-08-23 |
Last Update Date | 2024-10-29 |