Provider Demographics
NPI:1336924448
Name:RACKLEY, WENDY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:WENDY
Middle Name:
Last Name:RACKLEY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:WENDY
Other - Middle Name:
Other - Last Name:ERNY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:2005 HUTCHINS AVE
Mailing Address - Street 2:
Mailing Address - City:BALLINGER
Mailing Address - State:TX
Mailing Address - Zip Code:76821-4427
Mailing Address - Country:US
Mailing Address - Phone:325-365-5741
Mailing Address - Fax:
Practice Address - Street 1:2005 HUTCHINS AVE
Practice Address - Street 2:
Practice Address - City:BALLINGER
Practice Address - State:TX
Practice Address - Zip Code:76821-4427
Practice Address - Country:US
Practice Address - Phone:325-365-5741
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX66868183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist