| NPI | 1740394733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY HAFNER Pharmacist 507-836-6342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MN 200663) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: MN 2006633) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2008-02-08 |