Individual
LEROY MICHAEL THAEMERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1248 TIERNEY DR, NEW RICHMOND, WI 54017-2500
(715) 381-3826
Mailing address
1248 TIERNEY DR, NEW RICHMOND, WI 54017-2500
(715) 381-3826
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11260
WI
183500000X
Pharmacist
114698
MN
183500000X
Pharmacist
13590
NE
183500000X
Pharmacist
21386
IA
183500000X
Pharmacist
3431
WY
183500000X
Pharmacist
5357
ND
183500000X
Pharmacist
R5819
SD
Other
Enumeration date
04/18/2012
Last updated
04/18/2012
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