NPI | 1710678545 |
---|---|
Doing Business As | THRIFTY WHITE PHARMACY #795 |
Entity Type | Organization |
Authorized Contact | ANNE FROISTAD Licensing & Credentialing Manager 763-513-4377 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
333600000X Pharmacy | |
3336C0004X Pharmacy, Compounding Pharmacy | |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
3336S0011X Pharmacy, Specialty Pharmacy | |
Enumeration Date | 2023-05-15 |
Last Update Date | 2024-10-29 |