| NPI | 1861581472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE FROISTAD Licensing Coordinator 763-513-4377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2024-10-29 |