| NPI | 1972350486 |
|---|---|
| Doing Business As | ESSENTIA HEALTH STAPLES PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KEVIN BOREN VP Of Finance 218-786-1009 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy |
| Enumeration Date | 2024-05-02 |
| Last Update Date | 2024-07-03 |