NPI | 1801461819 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES JOSEPH STAGE President 651-403-0716 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
Enumeration Date | 2021-05-21 |
Last Update Date | 2021-05-21 |