NPI | 1619346137 |
---|---|
Entity Type | Organization |
Authorized Contact | NATASHA HENNESSY Chief Pharmacy Officer 612-722-4249 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MI 5301010731) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy | |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
Enumeration Date | 2015-09-15 |
Last Update Date | 2021-04-26 |