Provider Demographics
NPI:1437473949
Name:KIRKHAM, WENDY (RPH)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:
Last Name:KIRKHAM
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37251 US HWY 12
Mailing Address - Street 2:
Mailing Address - City:MINA
Mailing Address - State:SD
Mailing Address - Zip Code:57451
Mailing Address - Country:US
Mailing Address - Phone:605-228-3723
Mailing Address - Fax:
Practice Address - Street 1:WALMART
Practice Address - Street 2:3820 7TH AVE SE
Practice Address - City:ABERDEEN
Practice Address - State:SD
Practice Address - Zip Code:57401
Practice Address - Country:US
Practice Address - Phone:605-229-1519
Practice Address - Fax:605-229-0123
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-26
Last Update Date:2022-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00046231183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist