Individual
TIMOTHY CHARLES KRAUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4360 KINGSVIEW LN N, PLYMOUTH, MN 55446-2734
(612) 804-5445
Mailing address
4360 KINGSVIEW LN N, PLYMOUTH, MN 55446-2734
(612) 804-5445
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
118685
MN
Other
Enumeration date
09/07/2019
Last updated
09/07/2019
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