Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tanner Paque, PHARMD

Individual provider Pharmacist · NPI 1639777550

Tanner Paque, PHARMD is a Pharmacist in Mukwonago, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2020.

Licensed in
WI
In the registry since
2020
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

See every abbreviation used in this directory →

Practice location Address checks out

250 Wolf Run
Mukwonago, WI 53149-8470
Phone: (262) 363-8366
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 17123-40 (WI)

Record details

NPI number1639777550
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedOctober 13, 2020
Last updated in NPPESOctober 13, 2021
Certification dateOctober 13, 2021
Mailing address250 Wolf Run, Mukwonago, WI 53149-8470

Other providers in Mukwonago