NPI 1093092199

Lisa Annette Wienclaw, PHARMD

Practitioner Pharmacist Bettendorf, IA

Practice location

Address: 830 Middle Rd, Bettendorf, IA 52722-4101
Phone: (563) 355-5345
Mailing address: 3220 Greenbrier Dr, Bettendorf, IA 52722-2522

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 19877 (IA)

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Registry record

NPI: 1093092199
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Nov 2011
Record last updated: 3 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.