| NPI | 1598659039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD LOUAI ALSAMMAN Pharmacy Manager 612-806-5414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2025-06-09 |
| Last Update Date | 2025-08-22 |