Individual provider · Type 1 NPI

Kyle Glenn Wiegel, PharmD, MBA

Pharmacist · Green Bay, WI

NPI number 1205461399 Active

Practice location

1979 Lime Kiln Rd
Green Bay, WI 54311-6219

Mailing address

803 Fredrick Ct Apt 3
Green Bay, WI 54313-7994

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X19615-40 (WI)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1205461399

Kyle Glenn Wiegel, PharmD, MBA's National Provider Identifier is 1205461399, issued on Mar 9, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Green Bay, WI. The record was last updated on Mar 9, 2020.