NPI | 1871879676 |
---|---|
Entity Type | Organization |
Authorized Contact | MYIA M XIONG Pharmacist 651-487-3319 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MN 260525) |
Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: MN 302R00000X) |
Enumeration Date | 2011-10-25 |
Last Update Date | 2011-10-25 |