NPI | 1790243046 |
---|---|
Doing Business As | THRIFTY WHITE PHARMACY #793 |
Entity Type | Organization |
Authorized Contact | DANA LEE BERG Director Ar & Billing 763-513-4301 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
332B00000X Durable Medical Equipment & Medical Supplies | |
333600000X Pharmacy | |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
3336M0002X Pharmacy, Mail Order Pharmacy | |
Enumeration Date | 2019-03-06 |
Last Update Date | 2024-10-29 |