Healthcare Provider Details

I. General information

NPI: 1447188503
Provider Name (Legal Business Name): LOUIS WIMMER RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

523 N 3RD ST
BRAINERD MN
56401-3054
US

IV. Provider business mailing address

10151 260TH AVE
PIERZ MN
56364-7613
US

V. Phone/Fax

Practice location:
  • Phone: 218-828-7466
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number124266
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: