| NPI | 1962355073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL JEROME BIEURANCE Director Of Pharmacy 612-986-7827 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2026-02-18 |
| Last Update Date | 2026-03-11 |