| NPI | 1730428582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANI MARTINSEN Pharmacist In Charge 952-444-2857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: MN 263991) |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2024-04-10 |