Basic Information
| Provider Information | |||||||||
| NPI: | 1932112224 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | THOELE | ||||||||
| FirstName: | KARL | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PHARMD., CGP | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 580814 | ||||||||
| Address2: | |||||||||
| City: | PLEASANT PRAIRIE | ||||||||
| State: | WI | ||||||||
| PostalCode: | 531588111 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2246105417 | ||||||||
| FaxNumber: | 2246103751 | ||||||||
| Practice Location | |||||||||
| Address1: | 3001 GREEN BAY RD | ||||||||
| Address2: | VETERANS AFFAIRS MEDICAL CENTER | ||||||||
| City: | NORTH CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 600643048 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2246105417 | ||||||||
| FaxNumber: | 2246103751 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/15/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1835P1200X | IL | Y | Pharmacy Service Providers | Pharmacist | Pharmacotherapy |
No ID Information.