Individual
TARA MARIE BRIDGEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
2321 STOUT RD, MENOMONIE, WI 54751
(715) 233-7500
Mailing address
7250 GUIDER DRIVE, APT 209, WOODBURY, MN 55125
(651) 253-9454
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
123004
MN
183500000X
Pharmacist
Primary
18426
WI
Other
Enumeration date
01/16/2018
Last updated
11/27/2018
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