Tara Denise Rapp

NPI #1417547571 in Mount Vernon, Illinois

Provider Information

NPI Number: 1417547571
Entity Type: Individual
Name: Tara Denise Rapp
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Jan 22, 2021
Last Updated: Jan 22, 2021

Practice Location

Address: 1 GOOD SAMARITAN WAY
City: Mount Vernon
State: Illinois
ZIP Code: 62864-2402
Phone: (618) 899-3426

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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