NPI 1093082182

Kristin Elizabeth Thieneman, PHARMD

Practitioner Pharmacist Pewaukee, WI

Practice location

Address: 443 Pewaukee Road, Pewaukee, WI 53072
Phone: (262) 956-6701
Fax: (262) 956-6702

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 16502-40 (WI)

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Registry record

NPI: 1093082182
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Nov 2011
Record last updated: 17 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.