| NPI | 1689112898 |
|---|---|
| Doing Business As | PARK NICOLLET HOME INFUSION |
| Entity Type | Organization |
| Authorized Contact | DAVID BUSCH VP Pharmacy Operations 952-967-5049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: MN 200304) |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2017-02-09 |