Provider Demographics
NPI:1104076801
Name:KLINKEBIEL, DREW LOUIS (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DREW
Middle Name:LOUIS
Last Name:KLINKEBIEL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1301 S CLIFF AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-1005
Mailing Address - Country:US
Mailing Address - Phone:605-322-5750
Mailing Address - Fax:605-322-5799
Practice Address - Street 1:1301 S CLIFF AVE
Practice Address - Street 2:SUITE 400
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-1005
Practice Address - Country:US
Practice Address - Phone:605-322-5750
Practice Address - Fax:605-322-5799
Is Sole Proprietor?:No
Enumeration Date:2008-09-30
Last Update Date:2015-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN119280183500000X
NE13130183500000X
IA21318183500000X
SDR6251183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist