Provider Demographics
NPI:1437756756
Name:ENGLE, CAITLIN (PHARMD)
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:
Last Name:ENGLE
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 1:1231 E 57TH ST
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-5411
Mailing Address - Country:US
Mailing Address - Phone:605-274-7062
Mailing Address - Fax:605-274-7065
Practice Address - Street 1:1231 E 57TH ST
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-5411
Practice Address - Country:US
Practice Address - Phone:605-274-7062
Practice Address - Fax:605-274-7065
Is Sole Proprietor?:No
Enumeration Date:2020-10-08
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD6027183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist