Individual
TARA SCAIFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
115 W JESSIE ST, RUSHFORD, MN 55971-8837
(507) 864-2153
(507) 864-2413
Mailing address
PO BOX 370, 115 W. JESSIE ST, RUSHFORD, MN 55971-0370
(507) 864-2153
(507) 864-2413
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
015411
GA
183500000X
Pharmacist
114805
MN
183500000X
Pharmacist
16627-40
WI
Other
Enumeration date
03/14/2014
Last updated
03/14/2014
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