Search › Missouri › 1835G0303X
Mark Wienke, R.PH., CGP
NPI 1548544422 · on the registry since 2011 · sole proprietor
Practice
- Address
- 4112 Fall Ridge Dr
Columbia, MO 65203 - Phone
- (573) 446-0616
Registry record
- Primary taxonomy
- 1835G0303X
1835G0303X
- Also registered as
- 183500000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-10-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri