NPI | 1801320197 |
---|---|
Doing Business As | THRIFTY WHITE PHARMACY #788 |
Entity Type | Organization |
Authorized Contact | TIMOTHY WEIPPERT Chief Operating Officer 763-513-4365 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy |
Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
Enumeration Date | 2017-04-13 |
Last Update Date | 2024-10-29 |