Provider Demographics
NPI:1467501874
Name:STANDING SOLDIER, TASHA DEE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:TASHA
Middle Name:DEE
Last Name:STANDING SOLDIER
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 1:1208 CLOVER RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57701-2115
Mailing Address - Country:US
Mailing Address - Phone:605-385-0325
Mailing Address - Fax:
Practice Address - Street 1:2900 DOOLITTLE DRIVE
Practice Address - Street 2:28TH MEDICAL GROUP
Practice Address - City:ELLSWORTH AFB
Practice Address - State:SD
Practice Address - Zip Code:57706
Practice Address - Country:US
Practice Address - Phone:605-385-3250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD5464183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist