Shannon Thiesenhusen, PHARMD

NPI #1023617974 in Viroqua, Wisconsin

Provider Information

NPI Number: 1023617974
Entity Type: Individual
Name: Shannon Thiesenhusen, PHARMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Oct 21, 2020
Last Updated: Oct 21, 2020

Practice Location

Address: 1133 N MAIN ST
City: Viroqua
State: Wisconsin
ZIP Code: 54665-1162
Phone: (608) 637-8514

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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