| NPI | 1932266632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE FINCH Billing Manager 651-642-1825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2023-03-17 |