Individual
JOSEPH R THAGARD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPH, BCNSP
Contact information
Practice address
501 SE OSCEOLA ST, SUITE 302, STUART, FL 34994-2301
(772) 221-2015
(772) 221-2013
Mailing address
501 SE OSCEOLA ST, SUITE 302, STUART, FL 34994-2301
(772) 221-2015
(772) 221-2013
Taxonomy
Speciality
Code
Description
License number
State
1835N1003X
Nutrition Support Pharmacist
Primary
PS 17737
FL
Other
Enumeration date
09/29/2005
Last updated
07/08/2007
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