Individual
TIMOTHY CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7845 PORTLAND AVE S, BLOOMINGTON, MN 55420-1312
(952) 881-1253
(952) 881-2656
Mailing address
7845 PORTLAND AVE S, BLOOMINGTON, MN 55420-1312
(952) 881-1253
(952) 881-2656
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
122817
MN
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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