| NPI | 1740137660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAHIMA HASSAN Pharmacist In Charge 763-762-8983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2026-03-11 |
| Last Update Date | 2026-03-11 |