Individual
HILARY ANN TENGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
300 N MAIN ST, FORT ATKINSON, WI 53538-1831
(920) 568-9326
Mailing address
300 N MAIN ST, FORT ATKINSON, WI 53538-1831
(920) 568-9326
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14734-00
WI
Other
Enumeration date
01/30/2012
Last updated
02/19/2012
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