| NPI | 1659533362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TY CAMPBELL Manager Business Operation 651-254-3528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy Institutional Pharmacy (Licence: MN 200443) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2013-02-01 |