| NPI | 1669429239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRY CAROLD BJORNSON Registered Pharmacist 8082-939-9514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: HI PHY155) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2020-08-22 |