Provider Demographics
NPI:1760485908
Name:LEMKE, TODD D (PHARMD CDE)
Entity Type:Individual
Prefix:DR
First Name:TODD
Middle Name:D
Last Name:LEMKE
Suffix:
Gender:M
Credentials:PHARMD CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39250 647TH AVE
Mailing Address - Street 2:
Mailing Address - City:WATKINS
Mailing Address - State:MN
Mailing Address - Zip Code:55389-5857
Mailing Address - Country:US
Mailing Address - Phone:320-764-5332
Mailing Address - Fax:320-243-7910
Practice Address - Street 1:200 FIRST ST W
Practice Address - Street 2:
Practice Address - City:PAYNESVILLE
Practice Address - State:MN
Practice Address - Zip Code:56362
Practice Address - Country:US
Practice Address - Phone:320-243-7772
Practice Address - Fax:320-243-7910
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN11684041835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy