| NPI | 1730250275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS ANN BECKMANN Owner 952-938-2719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MN 262551-9) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2023-03-07 |