Individual
MR. KRISTIAN DENNIS BLOOMQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
1133 ROBERT ST S, WEST ST PAUL, MN 55118-2304
(651) 455-5590
(651) 455-3362
Mailing address
4148 PRIMROSE PATH, VADNAIS HEIGHTS, MN 55127-6146
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
117721
MN
Other
Enumeration date
08/30/2011
Last updated
08/30/2011
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