| NPI | 1922879683 |
|---|---|
| Doing Business As | CUB PHARMACY #1718 |
| Entity Type | Organization |
| Authorized Contact | JESSICA O'CONNELL Manager, Managed Care 651-779-4023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2024-01-11 |
| Last Update Date | 2024-01-11 |