| NPI | 1770655391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC J SCHREIBER Manager/Member 612-965-5506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 201703117D) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy (Licence: MO 005536) | |
| 333600000X Pharmacy | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2023-03-07 |