| NPI | 1619976495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MICHAEL PFAFF Pharmacist/Manager 320-289-2593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MN 2613589) |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2020-08-22 |