NPI | 1720253479 |
---|---|
Doing Business As | THRIFTY WHITE PHARMACY #769 |
Entity Type | Organization |
Authorized Contact | TIMOTHY WEIPPERT Chief Operating Officer 763-585-3507 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MN 263171) |
Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
332B00000X Durable Medical Equipment & Medical Supplies | |
333600000X Pharmacy | |
Enumeration Date | 2008-04-24 |
Last Update Date | 2017-01-18 |