| NPI | 1811145436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT E BLAIR President 507-345-4302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy (Licence: MN 263083) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2023-03-07 |