Tina Marie Spence, RPH Valid NPI
Individual provider · Pharmacist · Grand Marsh, WI
- NPI
- 1033230149
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 12024 (OK)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2007-04-03
- Last updated
- 2007-07-08
Practice location
350 Elk Ave
Grand Marsh, WI 53936
(608) 584-6216