Stephen Tangulie Tonsong, PHARMACIST is a
Pharmacy - Community/retail Pharmacy based in Kenosha, Wisconsin. Stephen Tangulie Tonsong is licensed to practice in Wisconsin (license number 20215-40) and his current practice location is
3710 57th Ave, Kenosha, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(262) 652-1474.
NPI number for Stephen Tangulie Tonsong is 1609463546 and his current mailing address is 3710 57th Ave, Kenosha, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1609463546.
Healthcare Provider's Profile
Full Name | Stephen Tangulie Tonsong |
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Gender | Male |
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Speciality | Pharmacy - Community/retail Pharmacy |
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Location | 3710 57th Ave, Kenosha, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1609463546
- Provider Enumeration Date: 12/27/2020
- Last Update Date: 12/27/2020
Medical Identifiers
Medical identifiers for Stephen Tangulie Tonsong such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609463546 | NPI | - | NPPES |
20215-40 | Other | WI | PHARMACIST |
1965179 | Other | WI | PHARMACIST |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
183500000X | Pharmacist | 20215-40 (Wisconsin) | Secondary |
3336C0003X | Pharmacy - Community/retail Pharmacy | 20215-40 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stephen Tangulie Tonsong is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Stephen Tangulie Tonsong, PHARMACIST 3710 57th Ave, Kenosha, WI 53144-4820 Ph: (262) 652-1474 | Stephen Tangulie Tonsong, PHARMACIST 3710 57th Ave, Kenosha, WI 53144-4820 Ph: (262) 652-1474 |
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