Individual
TARA HUMBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2 OAKRIDGE DRIVE, CHASKA, MN 55318
(952) 513-2831
Mailing address
1762 ALPHON DR, VICTORIA, MN 55386-4534
(612) 281-3677
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
117227
MN
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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