Provider Demographics
NPI:1427659861
Name:LENHARDT, TRUDIE (PHARM D)
Entity type:Individual
Prefix:
First Name:TRUDIE
Middle Name:
Last Name:LENHARDT
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3801 KELL BLVD
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76308-1605
Mailing Address - Country:US
Mailing Address - Phone:940-691-7296
Mailing Address - Fax:940-691-2872
Practice Address - Street 1:3801 KELL BLVD
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76308-1605
Practice Address - Country:US
Practice Address - Phone:940-691-7296
Practice Address - Fax:940-691-2872
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-03
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX45897183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist