National Provider Identifier
Derik Wandell
Derik Wandell is listed in the NPPES registry with a primary specialty of Pharmacist in Elmira, NY and a listed phone number of (607) 733-6696.
Profile Overview
- NPI
- 1538519228
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- June 14, 2016
- Last Updated
- June 14, 2016
Practice Location
- 130 S Main St
- Elmira, NY 14904-1309
Phone: (607) 733-6696
Specialties
- Pharmacist (183500000X)
Full Record
- NPI
- 1538519228
- Entity Type
- Individual
- Last Name
- Wandell
- First Name
- Derik
- Mailing Street Address
- 130 S Main St
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14904-1309
- Mailing Country
- US
- Practice Street Address
- 130 S Main St
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14904-1309
- Practice Country
- US
- Practice Phone
- (607) 733-6696
- Enumeration Date
- June 14, 2016
- Last Updated
- June 14, 2016
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X)