Individual
NICOLE TZANAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
305 SOUTH AVE APT 4, OSCEOLA, WI 54020-7912
(715) 828-5397
Mailing address
305 SOUTH AVE APT 4, OSCEOLA, WI 54020
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18018-40
WI
Other
Enumeration date
07/17/2015
Last updated
07/17/2015
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