| NPI | 1659450963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE F LENAGH CFO 952-993-3108 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2014-10-02 |