| NPI | 1750003653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY LOUISE HART CEO 218-546-2300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2022-09-16 |
| Last Update Date | 2023-05-18 |