Provider Demographics
NPI:1164852661
Name:SUNDE, WENDY (PHARM D)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:
Last Name:SUNDE
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2024 US HIGHWAY 2 E
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-2945
Mailing Address - Country:US
Mailing Address - Phone:406-257-5454
Mailing Address - Fax:406-756-0192
Practice Address - Street 1:2024 US HIGHWAY 2 E
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-2945
Practice Address - Country:US
Practice Address - Phone:406-257-5454
Practice Address - Fax:406-756-0192
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-19
Last Update Date:2013-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT5003183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist