| NPI | 1619567625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ANDERSON CFO 612-873-9505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy Specialty Pharmacy |
| Additional Taxonomies | 3336M0002X Pharmacy Mail Order Pharmacy |
| Enumeration Date | 2021-01-23 |
| Last Update Date | 2025-10-29 |