Individual
TANYA MARIE CADDELL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
5071 MANOR BROOK DR NW, ROCHESTER, MN 55901-3182
(507) 252-8177
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
115666-5
MN
Other
Enumeration date
12/16/2005
Last updated
07/08/2007
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