Provider Demographics
NPI:1871886044
Name:TOENNIES, MATTHEW J (PHARM D)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:J
Last Name:TOENNIES
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 E 56TH ST N STE 3150
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57104-0408
Mailing Address - Country:US
Mailing Address - Phone:605-322-8300
Mailing Address - Fax:605-322-8361
Practice Address - Street 1:500 E 56TH ST N STE 3150
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57104-0408
Practice Address - Country:US
Practice Address - Phone:605-322-8300
Practice Address - Fax:605-322-8361
Is Sole Proprietor?:No
Enumeration Date:2011-05-22
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD5594183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist