Individual ProviderTara Aleyne StogdillPharmacistPharmacy Service ProvidersPractice Address101 Bodin Cir Bldg 777, Travis Afb, CA 94535-1809(707) 423-3459PECOS EnrollmentBased on the most recent information from CMS, provider Tara Aleyne Stogdill does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:10 AM.Profile DetailsProvider ID1770724882Provider TypeIndividualFull NameStogdill, Tara AleyneCredentialPHARM.D.GenderFemaleSole ProprietorNoEnumeration Date3/19/2009Last Updated2/19/2020Contact InformationPractice LocationPractice Address101 Bodin Cir Bldg 777, Travis Afb, CA 94535-1809Phone(707) 423-3459FaxUnlisted FaxMailing LocationMailing Address101 Bodin Cir Bldg 777, Travis Afb, CA 94535-1809Phone(707) 423-3459FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense20819IowaCode1835P1200XDescriptionPharmacistPharmacy Service ProvidersLicense20819Iowa