| NPI | 1992716401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MILLAR Pharmacist 612-522-3608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MN 2624523) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2009-12-31 |