Provider Demographics
NPI:1740574714
Name:DENK, WENDI L (PHARMD)
Entity Type:Individual
Prefix:
First Name:WENDI
Middle Name:L
Last Name:DENK
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 1:2100 TEXAS AVE S
Mailing Address - Street 2:T-0800
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77840-3918
Mailing Address - Country:US
Mailing Address - Phone:979-696-4368
Mailing Address - Fax:979-696-4368
Practice Address - Street 1:2100 TEXAS AVE S
Practice Address - Street 2:T-0800
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77840-3918
Practice Address - Country:US
Practice Address - Phone:979-696-4368
Practice Address - Fax:979-696-4368
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-07
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX44413183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist