Individual
DR. NTXINCO THAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 W WISONSIN AVE, APPLETON, WI 54914
(920) 831-0400
Mailing address
2400 W WISONSIN AVE, APPLETON, WI 54914
(920) 831-0400
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
21005-40
WI
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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