Individual
DR. TAMIKA HERRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3500 BRUMBACK BLVD, KENOSHA, WI 53144-4816
(262) 652-1458
(262) 652-0856
Mailing address
3500 BRUMBACK BLVD, KENOSHA, WI 53144-4816
(262) 652-1458
(262) 652-0856
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18578-40
WI
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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