Wendy Brink, PHARMD

Individual provider Active NPI Pharmacist · Fort Meade, SD

NPI 1285718692 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1285718692
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
5104 (SD)
Practice address
113 Comanche Rd
Fort Meade, SD 57741-1002
Phone
(605) 720-7060
Fax
(605) 347-7207
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5104 SD Yes

Addresses

Primary practice location

113 Comanche Rd
Fort Meade, SD 57741-1002

Mailing address

113 Comanche Rd
Fort Meade, SD 57741-1002

Other providers in Fort Meade, SD

All providers in Fort Meade, SD · Pharmacist in South Dakota

Sources for this page

Verify at the official NPI Registry.