NPI | 1780279604 |
---|---|
Doing Business As | ETEL PHARMACY |
Entity Type | Organization |
Authorized Contact | BISHAW DITAMO Pharmacist In Charge/Pharmacist 651-414-9547 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2021-03-03 |
Last Update Date | 2021-05-23 |