Provider Demographics
NPI:1700486701
Name:HARMSEN-HOYT, WENDY LYNN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:WENDY
Middle Name:LYNN
Last Name:HARMSEN-HOYT
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:WENDY
Other - Middle Name:LYNN
Other - Last Name:ILLICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:413 E 77TH ST
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-8532
Mailing Address - Country:US
Mailing Address - Phone:701-261-1847
Mailing Address - Fax:605-362-2636
Practice Address - Street 1:3201 S LOUISE AVE
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57106-0704
Practice Address - Country:US
Practice Address - Phone:605-362-2636
Practice Address - Fax:605-362-2636
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-28
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN116769183500000X
SDR-6553183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist