Individual
TAMMY J BUMGARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1175 NININGER RD, HASTINGS, MN 55033-1056
(651) 480-4261
(651) 480-4266
Mailing address
1175 NININGER RD, HASTINGS, MN 55033-1056
(651) 480-4261
(651) 480-4266
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
115801
MN
183500000X
Pharmacist
PH 00018577
WA
Other
Enumeration date
10/28/2010
Last updated
10/28/2010
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