Provider Demographics
NPI:1972884351
Name:ARGALL, TARA R (PHARMD)
Entity type:Individual
Prefix:MS
First Name:TARA
Middle Name:R
Last Name:ARGALL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 W BELTLINE HWY
Mailing Address - Street 2:SUITE 600
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53713-2316
Mailing Address - Country:US
Mailing Address - Phone:608-729-1601
Mailing Address - Fax:608-729-2601
Practice Address - Street 1:2601 W BELTLINE HWY
Practice Address - Street 2:SUITE 600
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53713-2316
Practice Address - Country:US
Practice Address - Phone:608-729-1601
Practice Address - Fax:608-729-2601
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-30
Last Update Date:2013-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI14120-040183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist