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 |