Individual provider · Type 1 NPI

Nicole Renee Tieman, RPH

Pharmacist · Wausau, WI

NPI number 1750930723 Active

Practice location

4300 Rib Mountain Dr
Wausau, WI 54401-6604

Call (715) 359-6877 Map

Fax (715) 359-0241

Mailing address

5408 Roger Dr
Wausau, WI 54401-8093

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X12507-40 (WI)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1750930723

Nicole Renee Tieman, RPH's National Provider Identifier is 1750930723, issued on Sep 11, 2019. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Wausau, WI. The record was last updated on Sep 11, 2019.