| NPI | 1861839433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YANG XIONG Pharmacist In Charge/Owner 612-345-7842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MN 264120) |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2014-08-21 |