Healthcare Provider Details

I. General information

NPI: 1417354564
Provider Name (Legal Business Name): CHRISTOPHER PLOENZKE PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/04/2014
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

475 CHIPPEWA MALL DR STE 418
CHIPPEWA FALLS WI
54729-5047
US

IV. Provider business mailing address

1 VETERANS DR # 119
MINNEAPOLIS MN
55417-2309
US

V. Phone/Fax

Practice location:
  • Phone: 715-720-3780
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number121772
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number121772
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: