Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MARK EDWARD WIENKE, R.PH., CGP
Active Sole ProprietorMR. MARK EDWARD WIENKE, R.PH., CGP is a Geriatric Pharmacist healthcare provider located in COLUMBIA, Missouri. NPI 1548544422 is currently active in the NPPES registry. Verify at CMS.
Geriatric Pharmacist · COLUMBIA, MO
Registration Details
- NPI Number
- 1548544422
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 10, 2011 (14.854113174817 yrs)
- Last Updated
- Oct 10, 2011
- Licenses
-
041282 (MO)041282 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4112 FALL RIDGE DRCOLUMBIA, MO, 652036629Browse MO providers · Browse ZIP 65203
- Phone
- 5734460616
- Primary Specialty
-
Geriatric Pharmacist
1835G0303X
- Additional Specialty
- Geriatric Pharmacist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.