Provider Demographics
NPI:1659828580
Name:SPRENGELER, SHAWNA (PHARMD)
Entity Type:Individual
Prefix:
First Name:SHAWNA
Middle Name:
Last Name:SPRENGELER
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 1:251 5TH ST E
Mailing Address - Street 2:
Mailing Address - City:TRACY
Mailing Address - State:MN
Mailing Address - Zip Code:56175-1536
Mailing Address - Country:US
Mailing Address - Phone:507-629-8332
Mailing Address - Fax:507-629-8421
Practice Address - Street 1:251 5TH ST E
Practice Address - Street 2:
Practice Address - City:TRACY
Practice Address - State:MN
Practice Address - Zip Code:56175-1536
Practice Address - Country:US
Practice Address - Phone:507-629-8332
Practice Address - Fax:507-629-8421
Is Sole Proprietor?:No
Enumeration Date:2016-09-08
Last Update Date:2020-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1230241835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy