Provider Demographics
NPI:1316371917
Name:LINDLOFF, ANDREW ROGER (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:ROGER
Last Name:LINDLOFF
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:ANDY
Other - Middle Name:ROGER
Other - Last Name:LINDLOFF
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:110 W 4TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW RICHMOND
Mailing Address - State:WI
Mailing Address - Zip Code:54017-1722
Mailing Address - Country:US
Mailing Address - Phone:715-246-2186
Mailing Address - Fax:715-246-7115
Practice Address - Street 1:110 W 4TH ST
Practice Address - Street 2:
Practice Address - City:NEW RICHMOND
Practice Address - State:WI
Practice Address - Zip Code:54017-1722
Practice Address - Country:US
Practice Address - Phone:715-246-2186
Practice Address - Fax:715-246-7115
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-30
Last Update Date:2014-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN118479183500000X
WI15061-40183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist