Monica Thiry
Individual provider Active NPI Pharmacist · Casco, WI
NPI 1033539796 · NPPES record last updated Apr 21, 2014
Key facts
- NPI
- 1033539796
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 13515-40 (WI)
- Practice address
- N7695 RR and LTL Rd
Casco, WI 54205-9754 - Phone
- (920) 837-7510
- NPI assigned
- Apr 21, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13515-40 | WI | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13515-40 | WI | Yes |
Addresses
Primary practice location
N7695 RR and LTL Rd
Casco, WI 54205-9754
Mailing address
N7695 RR and LTL Rd
Casco, WI 54205-9754
Phone (920) 837-7510
Other providers in Casco, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.