Individual
BRANDON NICHOLAS LENGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
(224) 610-4722
Mailing address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
(224) 610-4722
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
21435
WI
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
21435
WI
1835P1200X
Pharmacotherapy Pharmacist
Primary
21435
WI
Other
Enumeration date
05/01/2024
Last updated
05/13/2026
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