Provider Demographics
NPI:1306470877
Name:SENTKOWSKI, ANDREW FRANK (PHARMD)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:FRANK
Last Name:SENTKOWSKI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:423 MERTON AVE
Mailing Address - Street 2:
Mailing Address - City:HARTLAND
Mailing Address - State:WI
Mailing Address - Zip Code:53029-1506
Mailing Address - Country:US
Mailing Address - Phone:262-367-4751
Mailing Address - Fax:
Practice Address - Street 1:423 MERTON AVE
Practice Address - Street 2:
Practice Address - City:HARTLAND
Practice Address - State:WI
Practice Address - Zip Code:53029-1506
Practice Address - Country:US
Practice Address - Phone:262-367-4751
Practice Address - Fax:262-367-4905
Is Sole Proprietor?:No
Enumeration Date:2020-02-24
Last Update Date:2020-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI18976-40183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist