Individual
KARIE TULLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2840 21ST PL S, LA CROSSE, WI 54601
(608) 784-6500
Mailing address
N1059 BLOOMER MILL RD, LA CROSSE, WI 54601
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14984-40
WI
Other
Enumeration date
11/02/2015
Last updated
11/02/2015
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