# MR. GREGG WENDLAND

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1598161960
- **Gender:** Man
- **Credential:** RPH.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | 0008535 | OR | Yes |
| 1835P0018X | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | RPH-0008535-P | OR | — |

## Other

- **Enumeration date:** 11/13/2014
- **Last updated:** 07/12/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | RPH-0008535-P | PHARMACIST LICENSE | OR |