| NPI | 1790909083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH A WESTMAN CEO 218-927-5501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy |
| Additional Taxonomies | 3336C0002X Pharmacy Clinic Pharmacy (Licence: MN PENDING) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2022-02-17 |