Most Relevant Information
Provider Data
| NPI Number: | 1003634544 |
| Provider Name: | TARA HUMBERT PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 117227 |
Most Important Dates
| Enumeration Date: | 10/02/2024 |
| Last Updated: | 10/02/2024 |
Provider Practice Location
2 OAKRIDGE DRIVE
CHASKA
MN
55318
Practice Location Phone/Fax
| Phone: | 9525132831 |
| Fax: |
Provider Mailing Location
1762 ALPHON DR
VICTORIA
MN
553864534
Provider Mailing Phone/Fax
| Phone: | 6122813677 |
| Fax: |