Individual
TANYA DENISE REAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 E LAGRANGE RD, HANOVER, IN 47243-9447
(812) 866-5599
(812) 866-2018
Mailing address
110 E LAGRANGE RD, HANOVER, IN 47243-9447
(812) 866-5599
(812) 866-2018
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26019616A
IN
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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