NPI | 1679663512 |
---|---|
Doing Business As | WHITE DRUG #40 |
Entity Type | Organization |
Authorized Contact | ANNE FROISTAD Licensing COO Rdinator 763-513-4377 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: ND PHAR78) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy | |
3336L0003X Pharmacy Long Term Care Pharmacy | |
Enumeration Date | 2006-10-13 |
Last Update Date | 2021-08-17 |