Individual
TRACY TAUBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
393 DUNLAP ST N, #110, SAINT PAUL, MN 55104-4200
(651) 645-9339
(651) 645-9726
Mailing address
1500 ELEANOR AVE, SAINT PAUL, MN 55116-2214
(651) 699-2188
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
114843
MN
Other
Enumeration date
06/11/2008
Last updated
06/11/2008
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