Organization
MACKENTHUN SUPERMARKETS, INC.
Active
Parent organization
KM SUPERMARKETS, INC.
Other names
Mackenthun's Fine Foods
Organization subpart
Yes
Provider details
NPI number
Legal business name
KM SUPERMARKETS, INC.
Authorized official
ANDREW AKHAPHONG (REGISTERED DIETITIAN)
(952) 442-2512
Entity
Organization
Contact information
Practice address
851 MARKETPLACE DR, WACONIA, MN 55387-1548
(952) 442-2512
(952) 442-5787
Mailing address
851 MARKETPLACE DR, WACONIA, MN 55387-1548
(952) 442-2512
(952) 442-5787
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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