Individual provider · Type 1 NPI

Bradford George Wallenberg, PharmD

Pharmacist · Sioux Falls, SD

NPI number 1598044000 Active

Practice location

2605 W 12th St
Sioux Falls, SD 57104-3816

Fax (605) 357-9496

Specialties and licenses

Taxonomy	Code	License
Pharmacist Primary	183500000X	3941 (SD)

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…

4 other providers at this address

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About NPI 1598044000

Bradford George Wallenberg, PharmD's National Provider Identifier is 1598044000, issued on Aug 15, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Sioux Falls, SD. The record was last updated on Aug 15, 2011.