Lisa Annette Wienclaw, PHARM D

NPI #1093092199 in Bettendorf, Iowa

Provider Information

NPI Number: 1093092199
Entity Type: Individual
Name: Lisa Annette Wienclaw, PHARM D
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARM D
Enumeration Date: Nov 3, 2011
Last Updated: Nov 3, 2011

Practice Location

Address: 830 MIDDLE RD
City: Bettendorf
State: Iowa
ZIP Code: 52722-4101
Phone: (563) 355-5345

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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