| NPI | 1831876549 |
|---|---|
| Doing Business As | PUBLIC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RABI LAL GHIMERAY Pharmacy Manager 218-409-5509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2023-07-04 |
| Last Update Date | 2023-12-04 |