Provider Demographics
NPI:1982867842
Name:WERREMEYER, AMY B (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:B
Last Name:WERREMEYER
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 1:118H SUDRO HALL
Mailing Address - Street 2:NORTH DAKOTA STATE UNIVERSITY
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58105
Mailing Address - Country:US
Mailing Address - Phone:701-231-7603
Mailing Address - Fax:
Practice Address - Street 1:118H SUDRO HALL
Practice Address - Street 2:NORTH DAKOTA STATE UNIVERSITY
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58105
Practice Address - Country:US
Practice Address - Phone:701-231-7603
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-09
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND5020183500000X, 1835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P1300XPharmacy Service ProvidersPharmacistPsychiatric