Individual
TYLER ROTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
200 AMERICAN BLVD W, BLOOMINGTON, MN 55420-1120
(952) 888-6079
Mailing address
988 RANDOLPH AVE APT 1, SAINT PAUL, MN 55102-3348
(763) 607-9807
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
124037
MN
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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