| NPI | 1669601878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES ROERICK CFO 612-777-4592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: MN 262623-3) |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2009-07-09 |