Provider Demographics
NPI:1417242967
Name:ENGLIN, CASEY (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:CASEY
Middle Name:
Last Name:ENGLIN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MISS
Other - First Name:CASEY
Other - Middle Name:
Other - Last Name:ARENDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1902 MOUNT RUSHMORE RD
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57701-4621
Mailing Address - Country:US
Mailing Address - Phone:605-342-0194
Mailing Address - Fax:
Practice Address - Street 1:1902 MOUNT RUSHMORE RD
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701-4621
Practice Address - Country:US
Practice Address - Phone:605-342-0194
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-13
Last Update Date:2011-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD5482183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist