Individual
TAMMY SUZANNE TROESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 HIGHLAND AVE, COMPLIANCE MAIL CODE 2433, MADISON, WI 53792-0001
(608) 662-0817
Mailing address
600 HIGHLAND AVE, COMPLIANCE MAIL CODE 2433, MADISON, WI 53792-0001
(608) 662-0817
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13629-040
WI
183500000X
Pharmacist
19051
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13629-040
PHARMACIST
WI
01
—
19051
PHARMACIST
IA
Enumeration date
01/24/2007
Last updated
07/08/2007
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