NPI | 1629613005 |
---|---|
Doing Business As | LOTUS PHARMACY |
Entity Type | Organization |
Authorized Contact | JILL MARIE LYTWYN CEO 612-425-9145 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2019-11-09 |
Last Update Date | 2022-04-22 |