Provider Demographics
NPI:1942920335
Name:TOURDOT, CADEN JAMES (PHARMD)
Entity Type:Individual
Prefix:
First Name:CADEN
Middle Name:JAMES
Last Name:TOURDOT
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 TERRENCE ST APT 5
Mailing Address - Street 2:
Mailing Address - City:CHIPPEWA FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:54729-3531
Mailing Address - Country:US
Mailing Address - Phone:608-432-2173
Mailing Address - Fax:
Practice Address - Street 1:1819 S HASTINGS WAY
Practice Address - Street 2:
Practice Address - City:EAU CLAIRE
Practice Address - State:WI
Practice Address - Zip Code:54701-4504
Practice Address - Country:US
Practice Address - Phone:715-834-3121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-29
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI21393183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist