Provider Demographics
NPI:1437184355
Name:WILLINK, DAVID PAUL (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:PAUL
Last Name:WILLINK
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 1:840 MAIN STREET
Mailing Address - Street 2:PO BOX 15
Mailing Address - City:BALDWIN
Mailing Address - State:WI
Mailing Address - Zip Code:54002-0015
Mailing Address - Country:US
Mailing Address - Phone:715-684-2674
Mailing Address - Fax:715-684-4076
Practice Address - Street 1:840 MAIN ST
Practice Address - Street 2:
Practice Address - City:BALDWIN
Practice Address - State:WI
Practice Address - Zip Code:54002-0015
Practice Address - Country:US
Practice Address - Phone:715-684-2674
Practice Address - Fax:715-684-4076
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI14151-40183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist