Provider Demographics
NPI:1679980460
Name:HINCHCLIFF, WENDY (PHARMD)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:
Last Name:HINCHCLIFF
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:WENDY
Other - Middle Name:
Other - Last Name:DYCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1515 WEST BELL STREET
Mailing Address - Street 2:SUITE 15
Mailing Address - City:GLENDIVE
Mailing Address - State:MT
Mailing Address - Zip Code:59330
Mailing Address - Country:US
Mailing Address - Phone:360-685-4282
Mailing Address - Fax:360-685-4283
Practice Address - Street 1:1515 WEST BELL STREET
Practice Address - Street 2:SUITE 15
Practice Address - City:GLENDIVE
Practice Address - State:MT
Practice Address - Zip Code:59330
Practice Address - Country:US
Practice Address - Phone:406-345-5336
Practice Address - Fax:855-532-5430
Is Sole Proprietor?:No
Enumeration Date:2014-07-14
Last Update Date:2024-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTPHA-PHA-LIC-98439183500000X
WAPH60027082183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAPH60027082OtherWASHINGTON STATE PHARMACIST LICENSE