Provider Demographics
NPI:1588276075
Name:WENDLANDT, STEPHANIE CATHERINE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:CATHERINE
Last Name:WENDLANDT
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 1:948 MOUNTAIN VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-5155
Mailing Address - Country:US
Mailing Address - Phone:262-957-0011
Mailing Address - Fax:
Practice Address - Street 1:7604 HWY 70 S
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37221-1852
Practice Address - Country:US
Practice Address - Phone:615-646-7310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-18
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN44309183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist