ROYAL CRYSTALS LLC NPI 1093416372

NPI Information

  • NPI: 1093416372
  • Provider Name: ROYAL CRYSTALS LLC
  • Classification: Public Health or Welfare - 251K00000X
  • Entity Type: Organization
  • Address: 832 142ND AVE NE
    HAM LAKE, MN
    ZIP 55304
  • Phone: (612) 203-4758

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NPI Details

ROYAL CRYSTALS LLC is a public health or welfare in Ham Lake, MN. ROYAL CRYSTALS LLC NPI is 1093416372. The provider is registered as an organization entity type.

The provider's business location address is:

832 142ND AVE NE
HAM LAKE, MN
ZIP 55304-757
Phone: (612) 203-4758

The provider's authorized official is Matilda Pokuaah Agyapong .
The authorized official title is Owner and has the following contact phone number (612) 203-4758.

The enumeration date for this NPI number is 3/14/2023 and was last updated on 3/14/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251K00000XPublic Health or WelfareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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