| NPI | 1740395888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON SAPP Director Of Pharmacy Services 952-828-4026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MN 261679) |
| Additional Taxonomies | 333600000X Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2016-10-03 |