Tait David Waege R.PH.

NPI 1053526244 - Pharmacist - 183500000X

NPI Details
NPI 1053526244
Gender Male
Enumeration Date 05/11/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3310 CALUMET AVE
MANITOWOC WI, 54220-5426, US
Phone (920) 320-4400
Fax (920) 320-4444
Business Location
N241 CTY HWY AB
DENMARK WI, 54208, US
Phone (920) 776-1109
Fax
Toxanomy
Taxonomy Code 183500000X
License State Wisconsin
License Number 13085-040
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According to our database, Mr. Tait David Waege R.PH. NPI is 1053526244, taxonomy code is 183500000X and license number is 13085-040, license state is located at Wisconsin. Tait David Waege R.PH. physically located at 3310 Calumet Ave, Manitowoc WI, 54220-5426. NPI Number Tait David Waege R.PH. has the Individual type.

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1053526244 NPI number is provided on an as is basis without warranty of any kind. 1053526244 is maintained by the National Plan & Provider Enumeration System. The contents of Tait David Waege R.PH. are for informational purposes only.