Individual
DR. CROSBY NILS TINDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3620 TEXAS AVE S, ST LOUIS PARK, MN 55426
(952) 933-3177
(952) 933-4187
Mailing address
3620 TEXAS AVE S, ST LOUIS PARK, MN 55426-4057
(952) 933-3177
(952) 933-4187
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
123904
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
811556
MINNESOTA BOARD OF PHARMACY INTERN LICENSE NUMBER
MN
Enumeration date
06/07/2015
Last updated
07/19/2018
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