Thomas a Christianson

NPI #1720162068 in Portage, Wisconsin

Provider Information

NPI Number: 1720162068
Entity Type: Organization
Organization Name: Thomas a Christianson
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: Oct 24, 2006
Last Updated: Jul 11, 2008

Practice Location

Address: 117 E COOK ST
City: Portage
State: Wisconsin
ZIP Code: 53901-2204
Phone: (608) 742-3737

Authorized Official

Name: THOMAS CHRISTIANSON, R.PH.
Title: OWNER/PHARMACIST
Phone: (608) 742-3737

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X
Durable Medical Equipment & Medical Supplies	332B00000X	Primary

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