| NPI | 1992072847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN NOU YANG Pharmacy Technician 763-425-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MN 71666) |
| Enumeration Date | 2011-11-21 |
| Last Update Date | 2011-11-21 |