| NPI | 1831203371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS GENE ZITNAK Owner 507-526-3784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MN 205091-9) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2007-11-19 |