Wood, Tara Lee
Wood, Tara Lee is an sole proprietor health care provider with primary practice located at 205 Parker St , Boscobel WI 53805-1642. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Wood, Tara Lee can be contacted via phone (608) 375-6307.Contact Information
Primary practice address
205 Parker St
Boscobel WI 53805-1642
Phone: (608) 375-6307
Fax: (608) 375-6198
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 13988 | Wisconsin |
Profile Details
| NPI number | 1063682508 |
|---|---|
| LBN Legal business name | Wood, Tara Lee |
| Credentials | PHARMD, RPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 11th, 2008 |
| Last updated | Nov 27th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063682508 | NPPES |
| Wisconsin | MEDICAID | 33051200 |
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