Individual
STEPHANIE WIENKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CLINICAL PHARMACIST
Contact information
Practice address
1339 S FEDERAL BLVD, DENVER, CO 80219-4235
(303) 602-0083
Mailing address
1339 S FEDERAL BLVD, DENVER, CO 80219-4235
(303) 602-0083
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA.0023159
CO
1835P2201X
Ambulatory Care Pharmacist
PHA.0023159
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHA.0023159
COLORADO STATE BOARD OF PHARMACY
CO
01
—
RPH-0017333
OREGON STATE BOARD OF PHARMACY
OR
Enumeration date
04/29/2019
Last updated
04/30/2024
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