Provider Demographics
NPI:1346684875
Name:WANGSNESS, BRITTANY JANE (PHARMD)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:JANE
Last Name:WANGSNESS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1634 CORRAL LN
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55125-8885
Mailing Address - Country:US
Mailing Address - Phone:912-272-5879
Mailing Address - Fax:
Practice Address - Street 1:7900 32ND ST N
Practice Address - Street 2:
Practice Address - City:OAKDALE
Practice Address - State:MN
Practice Address - Zip Code:55128-4054
Practice Address - Country:US
Practice Address - Phone:651-855-0990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-26
Last Update Date:2013-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN121173183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist