TIMOTHY RAY BOONSTRA

MINNEAPOLIS, MN
NPI1124393293
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: MN  113637-1)
Enumeration Date2012-03-21
Last Update Date2012-03-21
Business Address
-- TIMOTHY RAY BOONSTRA RPH
516 DELAWARE ST SE SUITE 2-350
MINNEAPOLIS, MN 55455-0356
Phone number: 612-626-2828
Mailing Address
-- TIMOTHY RAY BOONSTRA RPH
516 DELAWARE ST SE SUITE 2-350
MINNEAPOLIS, MN 55455-0356
Phone number: 612-626-2828