Organization
TANGEN DRUG INC
Active
Other names
TANGEN DRUG INC
Organization subpart
No
Provider details
NPI number
Authorized official
JOSH TEMPESTA PHRAMD (PRESIDENT/PHARMACIST)
(715) 483-3271
Entity
Organization
Contact information
Practice address
124 N WASHINGTON ST, SAINT CROIX FALLS, WI 54024-9243
(715) 483-3271
(715) 483-1847
Mailing address
PO BOX 430, SAINT CROIX FALLS, WI 54024-0430
(715) 483-3271
(715) 483-1847
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5271-42
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05810857900
—
MN
01
—
2113064
PK
—
05
—
33100300
—
WI
Enumeration date
06/04/2006
Last updated
07/19/2018
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