| NPI | 1659457141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON SAPP Director, Pharmacy Services 651-779-4026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2020-01-31 |