DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DUSTIN R WAGNER

MEDICARE: DUSTIN R WAGNER
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
1183500000XPharmacist5443SD

General Provider Information

NPI Number : 1295335792
Entity Type Code : Individual
Provider Name (Legal Business Name) : DUSTIN R WAGNER
Provider Business Mailing Address
First Line : 1200 N LACROSSE ST
Second Line :
City : RAPID CITY
State : SD
Zip : 57701-6965
Country : US
Telephone Number : 605-342-0881
Fax Number :
Provider Business Practice Location Address
First Line : 1200 N LACROSSE ST
Second Line :
City : RAPID CITY
State : SD
Zip : 57701-6965
Country : US
Telephone Number : 605-342-0881
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2020
Last Update Date : 10/26/2020

Similar Medicare Providers

1023035292 — WALMART INC.
Practice Location Address:
1200 N LACROSSE ST
RAPID CITY, SD
57701-6965
Practice Phone: 605-342-0881
Practice Fax:
1083214217 — ANNE CHMURA PHARMD
Practice Location Address:
1200 N LACROSSE ST
RAPID CITY, SD
57701-6965
Practice Phone: 605-342-0881
Practice Fax:
1598366130 — AIMEE C DUFOUR PHARM D
Practice Location Address:
1200 N LACROSSE ST
RAPID CITY, SD
57701-6965
Practice Phone: 605-342-0881
Practice Fax: 605-342-0716
1124742994 — MACKENZIE CARLBOM
Practice Location Address:
1200 N LACROSSE ST
RAPID CITY, SD
57701-6965
Practice Phone: 605-342-0881
Practice Fax:
1801663596 — WALMART INC.
Practice Location Address:
1200 N LACROSSE ST
RAPID CITY, SD
57701-6965
Practice Phone: 605-348-4881
Practice Fax: 605-348-3783
1558749291 — DR. SEAN STEVEN MCKNEE DC
Practice Location Address:
5855 GREEN VALLEY CIR STE 106
CULVER CITY, CA
90230-6965
Practice Phone: 310-730-3423
Practice Fax:

Directions to “ DUSTIN R WAGNER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.