Dane Leist, PHARMD

Pharmacist · Two Rivers, WI

Individual Active NPI

NPI number 1124396650

Practice location

2206 Washington St
Two Rivers, WI 54241-2241
Phone
(920) 793-8352

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NPI record

NPI
1124396650
Entity type
Individual (Type 1)
Enumeration date
December 12, 2011
Last updated
August 19, 2015
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 16249-040 WI

About Dr. Leist

Dane Leist, PHARMD is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 2206 Washington St, Two Rivers, WI 54241-2241. The NPI number 1124396650 was assigned on December 12, 2011 and the record was last updated on August 19, 2015.

Dr. Leist lists a license in the registry: #16249-040 (WI) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Dane Leist, PHARMD?

The NPI number is 1124396650.

What is the phone number of Dr. Leist?

The phone number listed for the practice location is (920) 793-8352.

Where is Dr. Leist located?

2206 Washington St, Two Rivers, WI 54241-2241.

What is the taxonomy code for Dr. Leist?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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