Individual
DR. TAMERA LYNN HAASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3255 VICKSBURG LN N, PLYMOUTH, MN 55447-1317
(763) 253-8917
Mailing address
16880 79TH AVE N, MAPLE GROVE, MN 55311-3716
(763) 286-6630
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
117733
MN
Other
Enumeration date
11/14/2011
Last updated
11/14/2011
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