Wienke, Mark Edward

Wienke, Mark Edward is an sole proprietor health care provider with primary practice located at 4112 Fall Ridge Dr , Columbia MO 65203-6629. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Geriatric. Pharmacy Service Providers / Geriatric is his primary health care specialty. Wienke, Mark Edward can be contacted via phone (573) 446-0616.

Contact Information

Primary practice address
4112 Fall Ridge Dr Columbia MO 65203-6629
Phone: (573) 446-0616
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 041282 Missouri
Pharmacy Service Providers / Geriatric 1835G0303X 041282 Missouri

Profile Details

NPI number 1548544422
LBN Legal business name Wienke, Mark Edward
Credentials R.PH., CGP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2011
Last updated Oct 10th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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