Individual
TED SIMPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
345 SMITH AVE N, SAINT PAUL, MN 55102-2346
(651) 220-6962
Mailing address
5614 103RD AVE N, BROOKLYN PARK, MN 55443-1876
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
119056
MN
Other
Enumeration date
05/18/2012
Last updated
09/15/2016
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