| NPI | 1689980112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOWLID Y BALAYAH Chief Pharmacist 612-341-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MN 263557) |
| Enumeration Date | 2010-08-21 |
| Last Update Date | 2011-04-19 |