Provider Demographics
NPI:1609264803
Name:LAGER, BRITTNEY NICOLE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BRITTNEY
Middle Name:NICOLE
Last Name:LAGER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:BRITTNEY
Other - Middle Name:NICOLE
Other - Last Name:WINKELMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7918 GROVE ROAD
Mailing Address - Street 2:
Mailing Address - City:EDWARDSVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62025
Mailing Address - Country:US
Mailing Address - Phone:618-772-2623
Mailing Address - Fax:877-291-1133
Practice Address - Street 1:4010 WEDGEWAY COURT
Practice Address - Street 2:
Practice Address - City:EARTH CITY
Practice Address - State:MO
Practice Address - Zip Code:63045
Practice Address - Country:US
Practice Address - Phone:877-291-1122
Practice Address - Fax:877-291-1133
Is Sole Proprietor?:No
Enumeration Date:2014-12-23
Last Update Date:2019-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.297670183500000X
MO2014030251183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist