Individual
TANYA LEE BROSZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1304 E BOULEVARD AVE, BISMARCK, ND 58501-4234
(701) 224-0175
Mailing address
PO BOX 994, BISMARCK, ND 58502-0994
(701) 224-9521
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4944
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24858
BC-BS INDIVIDUAL PROVIDER
ND
Enumeration date
03/29/2007
Last updated
01/24/2022
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