| NPI | 1982107355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY WEIPPERT Chief Operating Officer 763-585-3507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MN 265548) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2024-10-29 |