DR. DOUG T WUNDERLICH (NPI# 1467766212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467766212 |
| Entity Type | Individual |
| Full Name | DR. DOUG T WUNDERLICH |
| Credential | PHARM D |
| Practice Address |
351 Dewey St Foley MN 56329-8447 |
| Mailing Address |
254 Oak Dr Po Box 160 Foley MN 56329-8725 |
| Practice Telephone | 3209687272 |
| Mailing Telephone | 9122245211 |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2010-08-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 120155 | MN | Pharmacy Service Providers |
| Street Address |
351 DEWEY ST |
| City | FOLEY |
| State | MN |
| Zip Code | 56329-8447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669561163 | Southside Pharmacy Ltd | Pharmacy | 351 Dewey St, Foley, MN 56329-8447 | 2006-10-12 |
| 1154654200 | Jennifer Ann Watson | Pharmacist | 351 Dewey St, Foley, MN 56329-8447 | 2009-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558898387 | Centracare Clinic | Clinic/Center | 161 Glen St., Ste 101, Foley, MN 56329 | 2017-05-11 |
| 1023323433 | Schu-tran LLC | Non-emergency Medical Transport (VAN) | 325 Glen St, Foley, MN 56329 | 2010-08-10 |
| 1659699288 | Clifford Dillon Stiles | Family Medicine | 471 Hwy 23 Ne, Foley, MN 56329 | 2010-05-06 |
| 1770813081 | Foley Health Care Inc | Home Health | 253 Pine Street, Foley, MN 56329 | 2010-01-08 |
| 1679600670 | Foley Area Care A Living At Home Block Nurse Program | Voluntary or Charitable | 251 4th Ave N, Foley, MN 56329 | 2007-02-27 |
| 1932272572 | Coborns Inc | Durable Medical Equipment & Medical Supplies | 161 Glen St, Foley, MN 56329 | 2006-11-15 |
| 1225112329 | Steven William O'brien | Dentist | 311 Dewey St, Foley, MN 56329 | 2006-10-25 |
| 1295818029 | County of Benton Ind School Dist 51 | Local Education Agency (LEA) | 840 Norman Ave N, Foley, MN 56329 | 2006-10-23 |
| 1588744643 | Foley Health Care Inc | Home Health | 120 Norman Avenue South, Foley, MN 56329 | 2006-10-16 |
| 1346332202 | Barbara Ann Mergen | Nurse Practitioner | 471 Hwy 23, Foley Medical Center Ltd, Foley, MN 56329 | 2006-09-29 |
| Find all providers in zip 56329 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | 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, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841728904 | Candice Marie Osborne | Pharmacist | 2200 South Mckenzie Street, Foley, AL 36535 | 2017-06-01 |
| 1518179431 | Jennifer Mcguire Hyatt | Pharmacist | 1235 S. Mckenzie Street, Foley, AL 36535 | 2007-05-04 |
| 1952457111 | John David May | Pharmacist | 1255 S Mckenzie St, Foley, AL 36535-1818 | 2007-01-28 |
| 1225107279 | Patricia A Sanders | Pharmacist | 1235 S Mckenzie St, Foley, AL 36535-1818 | 2006-11-06 |
| 1952344426 | John Andrew Schaff | Pharmacist | 101 W Laurel Ave, Foley, AL 36535-1966 | 2006-06-13 |
| 1407804727 | Daniel Mcferrin | Pharmacist | 300 W Pedigo Ave, Foley, AL 36535-1954 | 2006-05-05 |
| 1528679289 | Erica D Busch | Pharmacist | 698 S Mckenzie St, Foley, AL 36535-3541 | 2020-08-14 |
| 1144831249 | Kathleen Elise Dismukes | Pharmacist | 698 S Mckenzie St, Foley, AL 36535-3541 | 2020-08-12 |
| 1396255162 | Tasha Dallmann | Pharmacist | 1255 S Mckenzie St, Foley, AL 36535-1818 | 2017-10-06 |
| 1457882979 | Morgan White Garrick | Pharmacist | 2200 S Mckenzie St, Foley, AL 36535-1701 | 2017-03-26 |
| Find all providers in FOLEY | ||||
Please comment or provide details below to improve the information on DR. DOUG T WUNDERLICH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.