| NPI | 1851850713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY PAUL SCHAFFER Owner/PIC 952-884-7528 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 183500000X Pharmacist |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2019-11-20 |