Provider Demographics
NPI:1396503603
Name:BORCHERS, KENDRA MARIE (PHARMD)
Entity type:Individual
Prefix:
First Name:KENDRA
Middle Name:MARIE
Last Name:BORCHERS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1897 13TH AVE SE APT 2101
Mailing Address - Street 2:
Mailing Address - City:SIOUX CENTER
Mailing Address - State:IA
Mailing Address - Zip Code:51250-1147
Mailing Address - Country:US
Mailing Address - Phone:712-441-5501
Mailing Address - Fax:
Practice Address - Street 1:33 4TH ST NW
Practice Address - Street 2:
Practice Address - City:SIOUX CENTER
Practice Address - State:IA
Practice Address - Zip Code:51250-1870
Practice Address - Country:US
Practice Address - Phone:712-722-1700
Practice Address - Fax:712-722-1770
Is Sole Proprietor?:No
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA23157183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist