Provider Demographics
NPI:1811583479
Name:SONDROL, BRICE DENNIS (PHARMD)
Entity Type:Individual
Prefix:
First Name:BRICE
Middle Name:DENNIS
Last Name:SONDROL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 1ST ST S
Mailing Address - Street 2:
Mailing Address - City:WILLMAR
Mailing Address - State:MN
Mailing Address - Zip Code:56201-4201
Mailing Address - Country:US
Mailing Address - Phone:320-222-4000
Mailing Address - Fax:320-222-4010
Practice Address - Street 1:1301 1ST ST S
Practice Address - Street 2:
Practice Address - City:WILLMAR
Practice Address - State:MN
Practice Address - Zip Code:56201-4201
Practice Address - Country:US
Practice Address - Phone:320-222-4000
Practice Address - Fax:320-222-4010
Is Sole Proprietor?:No
Enumeration Date:2020-12-17
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN124915183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist