MEDICARE: DAVID ANDREW EHLERT PHARM.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	13031	WI

General Provider Information

NPI Number	:	1194652024
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID ANDREW EHLERT PHARM.D.

Provider Business Mailing Address
First Line	:	11313 TRILLIUM LN N
Second Line	:
City	:	CHAMPLIN
State	:	MN
Zip	:	55316-2685
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11313 TRILLIUM LN N
Second Line	:
City	:	CHAMPLIN
State	:	MN
Zip	:	55316-2685
Country	:	US
Telephone Number	:	763-443-7967
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2026
Last Update Date	:	05/05/2026

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