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Ellen Marie Bergendahl
Pharmacist in Madison, Wisconsin
NPI 1457733669

Ellen Marie Bergendahl is a Pharmacist based in Madison, WI. Ellen Marie Bergendahl practices in Madison, WI. The NPI Number for Ellen Marie Bergendahl is 1457733669 and holds a License No. 17922-40 (Wisconsin).

The current practice location address for Ellen Marie Bergendahl is 1725 Northport Dr, Madison, WI and can be reached out via phone at 608-241-7001.

Location: 1725 Northport Dr, Madison, WI, 53704-3025
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457733669
Provider Name
Ellen Marie Bergendahl
Credential
Provider Entity Type
Individual
Gender
Female
Address
1725 Northport Dr, Madison, WI, 53704-3025
Phone Number
608-241-7001
Fax Number
Provider Enumeration Date
06/24/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1725 Northport Dr
City
Madison
State
Wisconsin
Zip
53704-3025
Phone Number
608-241-7001
Fax Number
person
Provider Business Mailing Address Details
Address
1725 Northport Dr
City
Madison
State
Wisconsin
Zip
53704-3025
Phone Number
608-241-7001
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
17922-40 (Wisconsin)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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