Spencer Bold, PharmD
Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Sussex, WI. Individual provider (NPI-1).
NPI number1669080784
StatusActive
Last updated in NPPESDec 5, 2020
Details
- NPI
- 1669080784
- Entity type
- Individual (NPI-1)
- Name
- Spencer Bold
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 14, 2020
- Certification date
- Dec 5, 2020
- Last updated
- Dec 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1835P0018X | Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 20357-40 | WI | Yes |
| 183500000X | Pharmacist | 20357-40 | WI |
Practice location
N65w24838 Main StSussex, WI 53089-2670
Phone 262-946-6363
Mailing address
11509 N Laguna DrMequon, WI 53092-3119
Phone 414-243-9579
Other practice locations
11270 N Port Washington Rd
Mequon, WI 53092-3410
Mequon, WI 53092-3410
Phone 262-241-5539
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist providers in Sussex, WI
- Amanda Rae Hammond, PHARMDNPI 1558250290
- Sara Rieboldt, PHARMDNPI 1437403318
- Anne Schmidt, RPHNPI 1376934752
- Rick L. Vaniperen, R.PH , M.B.ANPI 1013298322
All 5 Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist providers in Sussex · All 251 providers in Sussex
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.