NPI | 1750322186 |
---|---|
Doing Business As | LONGBELLA DRUG INC |
Entity Type | Organization |
Authorized Contact | LANI LONGBELLAROBERTS R Ph, Pres 218-894-2242 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MN 2003445) |
333600000X Pharmacy | |
Enumeration Date | 2006-06-09 |
Last Update Date | 2017-01-06 |