| NPI | 1639474612 |
|---|---|
| Doing Business As | WHITE BEAR HEALTH MART |
| Entity Type | Organization |
| Authorized Contact | JOSEPH NORMAN JORGENSON Pharmacist In Charge 651-289-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2011-01-21 |
| Last Update Date | 2011-05-07 |