Provider Demographics
NPI:1780943126
Name:YUNKER, TARA L (RPH)
Entity type:Individual
Prefix:
First Name:TARA
Middle Name:L
Last Name:YUNKER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 HUMES ROAD
Mailing Address - Street 2:
Mailing Address - City:JANESVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53545-0309
Mailing Address - Country:US
Mailing Address - Phone:608-371-6781
Mailing Address - Fax:608-563-1305
Practice Address - Street 1:2500 HUMES ROAD
Practice Address - Street 2:
Practice Address - City:JANESVILLE
Practice Address - State:WI
Practice Address - Zip Code:53545-0309
Practice Address - Country:US
Practice Address - Phone:608-371-6781
Practice Address - Fax:608-563-1305
Is Sole Proprietor?:No
Enumeration Date:2012-05-04
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK104168183500000X
WI10943-40183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist