Individual
REBECCA THAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
425 WIND RIDGE DR, WAUSAU, WI 54401-4149
(715) 675-3391
Mailing address
333 PINE RIDGE BLVD, WAUSAU, WI 54401-4102
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22819
WI
1835P2201X
Ambulatory Care Pharmacist
22819
WI
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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