| NPI | 1831203827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY HARNACK Manager 507-752-7826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MN 2053673) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2008-09-04 |