NPI | 1982793584 |
---|---|
Doing Business As | WHITE DRUG #42 |
Entity Type | Organization |
Authorized Contact | ANNE FROISTAD Licensing Coordinator 763-513-4377 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IA 504) |
Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
332B00000X Durable Medical Equipment & Medical Supplies | |
333600000X Pharmacy | |
Enumeration Date | 2006-10-12 |
Last Update Date | 2021-07-15 |