Provider Demographics
NPI:1164026274
Name:WUERGLER, STUART (PHARMD)
Entity Type:Individual
Prefix:
First Name:STUART
Middle Name:
Last Name:WUERGLER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3938 MIDWAY RD
Mailing Address - Street 2:
Mailing Address - City:GOSHEN
Mailing Address - State:IN
Mailing Address - Zip Code:46526-5854
Mailing Address - Country:US
Mailing Address - Phone:574-875-0610
Mailing Address - Fax:
Practice Address - Street 1:3938 MIDWAY RD
Practice Address - Street 2:
Practice Address - City:GOSHEN
Practice Address - State:IN
Practice Address - Zip Code:46526-5854
Practice Address - Country:US
Practice Address - Phone:574-875-0610
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26024903A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist