Individual
DR. TRICIA LYN DISSMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH, PHARMD
Contact information
Practice address
800 WEST AVE S, SKEMP CLINIC PHARMACY, LA CROSSE, WI 54601
(608) 392-9855
Mailing address
806 GREENWOOD ST, HOLMEN, WI 54636-8003
(608) 526-9772
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
122216
MN
1835P1200X
Pharmacotherapy Pharmacist
Primary
14754-00
WI
Other
Enumeration date
01/28/2008
Last updated
02/26/2021
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