Individual provider · Type 1 NPI

Ellen Marie Bergendahl

Pharmacist · Baraboo, WI

NPI number 1457733669 Active

Practice location

1700 Tuttle St
Baraboo, WI 53913-3319

Call (608) 355-3800 Map

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X17922-40 (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 1457733669

Ellen Marie Bergendahl's National Provider Identifier is 1457733669, issued on Jun 24, 2015. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Baraboo, WI. The record was last updated on Nov 15, 2024.