Individual
DR. TARA LEE WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
205 PARKER ST, BOSCOBEL, WI 53805-1642
(608) 375-6307
(608) 375-6198
Mailing address
205 PARKER ST, BOSCOBEL, WI 53805-1642
(608) 375-6307
(608) 375-6198
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13988
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33051200
—
WI
Enumeration date
03/11/2008
Last updated
11/27/2023
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