Provider Demographics
NPI:1508928581
Name:WIEST, CARI ANN
Entity Type:Individual
Prefix:MS
First Name:CARI
Middle Name:ANN
Last Name:WIEST
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 S 7TH ST
Mailing Address - Street 2:
Mailing Address - City:WISHEK
Mailing Address - State:ND
Mailing Address - Zip Code:58495-7311
Mailing Address - Country:US
Mailing Address - Phone:701-452-2935
Mailing Address - Fax:701-452-2935
Practice Address - Street 1:9 SOUTH CENTENNIAL ST
Practice Address - Street 2:
Practice Address - City:WISHEK
Practice Address - State:ND
Practice Address - Zip Code:58495
Practice Address - Country:US
Practice Address - Phone:701-452-2368
Practice Address - Fax:701-452-2368
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2010-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND4790183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist