| NPI | 1629510854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY WEIPPERT Chief Operating Officer 763-585-3507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| 333600000X Pharmacy (Licence: MN 265196) | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2024-10-29 |