DR. Dane Leist, PHARMD
NPI #1124396650 in Two Rivers, Wisconsin
Provider Information
- NPI Number
- 1124396650
- Entity Type
- Individual
- Name
- DR. Dane Leist, PHARMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Credential
- PHARMD
- Enumeration Date
- Dec 12, 2011
- Last Updated
- Aug 19, 2015
Practice Location
- Address
- 2206 WASHINGTON ST
- City
- Two Rivers
- State
- Wisconsin
- ZIP Code
- 54241-2241
- Phone
- (920) 793-8352
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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