| NPI | 1881632123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM COX Director Of Pharmacy 320-251-5505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MN 262764) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition | |
| 333600000X Pharmacy | |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2020-08-21 |