| NPI | 1760792691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT MICHAEL BENSON Owner 763-717-0222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy (Licence: MN 263598) |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2010-10-13 |