Individual
ABBY LYNN TAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 HIGHWAY 6 W # CC119, IOWA CITY, IA 52246-2209
(319) 339-7103
Mailing address
601 HIGHWAY 6 W # CC119, IOWA CITY, IA 52246-2209
(319) 339-7103
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
13933-40
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13933-40
PHARMACIST
WI
Enumeration date
11/09/2006
Last updated
03/04/2024
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