Tamara Carr Ravn PHARM.D.

NPI 1083615439 - Pharmacist - 183500000X

NPI Details
NPI 1083615439
Gender Female
Enumeration Date 08/09/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
927 FOND DU LAC AVE
KEWASKUM WI, 53040-9161, US
Phone (262) 626-4222
Fax (262) 626-2109
Business Location
927 FOND DU LAC AVE
KEWASKUM WI, 53040-9161, US
Phone (262) 626-4222
Fax (262) 626-2109
Toxanomy
Taxonomy Code 183500000X
License State Wisconsin
License Number 13656040
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According to our database, Dr. Tamara Carr Ravn PHARM.D. NPI is 1083615439, taxonomy code is 183500000X and license number is 13656040, license state is located at Wisconsin. Tamara Carr Ravn PHARM.D. physically located at 927 Fond Du Lac Ave, Kewaskum WI, 53040-9161. NPI Number Tamara Carr Ravn PHARM.D. has the Individual type.

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1083615439 NPI number is provided on an as is basis without warranty of any kind. 1083615439 is maintained by the National Plan & Provider Enumeration System. The contents of Tamara Carr Ravn PHARM.D. are for informational purposes only.