Provider Demographics
NPI:1023303435
Name:WRIGLEY, LINDSEY RAE (PHARM D)
Entity type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:RAE
Last Name:WRIGLEY
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7200 VALLEY CREEK PLZ
Mailing Address - Street 2:T-0694
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55125-2265
Mailing Address - Country:US
Mailing Address - Phone:651-735-9517
Mailing Address - Fax:651-735-9517
Practice Address - Street 1:7200 VALLEY CREEK PLZ
Practice Address - Street 2:T-0694
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55125-2265
Practice Address - Country:US
Practice Address - Phone:651-735-9517
Practice Address - Fax:651-735-9517
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-14
Last Update Date:2011-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN120160183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist