Organization
CROSSTOWN DRUG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY LINDBERG (CEO)
(763) 780-1500
Entity
Organization
Contact information
Practice address
8400 CORAL SEA ST, SUITE 525, MOUNDS VIEW, MN 55112-4398
(763) 780-1500
Mailing address
8400 CORAL SEA ST, SUITE 525, MOUNDS VIEW, MN 55112-4398
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
259796-4
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116057500
—
MN
01
—
2414693
NCPDP
MN
Enumeration date
10/16/2006
Last updated
12/17/2010
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