Tanner Paque, PHARMD

Pharmacist · Mukwonago, WI

Individual Active NPI

NPI number 1639777550

Practice location

250 Wolf Run
Mukwonago, WI 53149-8470
Phone
(262) 363-8366

Open in Google Maps

NPI record

NPI
1639777550
Entity type
Individual (Type 1)
Enumeration date
October 13, 2020
Last updated
October 13, 2021
Certified
October 13, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 17123-40 WI

About Dr. Paque

Tanner Paque, PHARMD is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 250 Wolf Run, Mukwonago, WI 53149-8470. The NPI number 1639777550 was assigned on October 13, 2020 and the record was last updated on October 13, 2021.

Dr. Paque lists a license in the registry: #17123-40 (WI) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Tanner Paque, PHARMD?

The NPI number is 1639777550.

What is the phone number of Dr. Paque?

The phone number listed for the practice location is (262) 363-8366.

Where is Dr. Paque located?

250 Wolf Run, Mukwonago, WI 53149-8470.

What is the taxonomy code for Dr. Paque?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Pharmacist providers in Mukwonago

All Pharmacist providers in Mukwonago, WI →