| NPI | 1730696923 |
|---|---|
| Doing Business As | THRIFTY WHITE PHARMACY #790 |
| Entity Type | Organization |
| Authorized Contact | MARK BASCO CFO, Secretary & Treasurer 763-513-4345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: pending) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2024-10-29 |