MEDICARE: TAWNY LYNN VOGEL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	20922-40	WI

General Provider Information

NPI Number	:	1174194930
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAWNY LYNN VOGEL

Provider Business Mailing Address
First Line	:	819 N MEMORIAL DR
Second Line	:
City	:	RACINE
State	:	WI
Zip	:	53404-3270
Country	:	US
Telephone Number	:	262-637-4900
Fax Number	:	262-637-7148

Provider Business Practice Location Address
First Line	:	819 N MEMORIAL DR
Second Line	:
City	:	RACINE
State	:	WI
Zip	:	53404-3270
Country	:	US
Telephone Number	:	262-637-4900
Fax Number	:	262-637-7148

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/02/2021
Last Update Date	:	01/18/2024

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Directions to “ TAWNY LYNN VOGEL ” Practice Location

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