| NPI | 1770028748 |
|---|---|
| Doing Business As | MAPLE GROVE OVERNIGHT DISCHARGE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE R GALE Interim CFO 763-581-4635 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-12-30 |
| Last Update Date | 2024-12-09 |