| NPI | 1851496160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA HENNESSY Chief Pharmacy Officer 612-722-4249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: IL 58013565) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2021-04-27 |