MEDICARE: LARRY D. WAGENKNECHT R.PH.

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	5302024102	MI

General Provider Information

NPI Number	:	1790856995
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LARRY D. WAGENKNECHT R.PH.

Provider Business Mailing Address
First Line	:	6097 PARTRIDGE ST
Second Line	:
City	:	HASLETT
State	:	MI
Zip	:	48840-8986
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	815 N WASHINGTON AVE
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48906-5166
Country	:	US
Telephone Number	:	517-377-0226
Fax Number	:

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

Provider Enumeration Date	:	11/11/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1902892193 — MRS. KAREN A. JONAS R.PH., FASCP
Practice Location Address:

815 N WASHINGTON AVE
LANSING, MI
48906-5166

Practice Phone: 517-377-0254
Practice Fax: 517-484-4893

1790959401 — MRS. DIANNE ELIZABETH MILLER R.PH.
Practice Location Address:

815 N WASHINGTON AVE
LANSING, MI
48906-5166

Practice Phone: 517-484-1466
Practice Fax: 517-484-4893

1083562284 — THE GROUNDED GROVE
Practice Location Address:

107 E CESAR E CHAVEZ AVE
LANSING, MI
48906-4348

Practice Phone: 919-438-1674
Practice Fax:

1174299705 — ABIGAIL NOELLE SMITH MSW, LMSW, LISW
Practice Location Address:

107 E CESAR E CHAVEZ AVE
LANSING, MI
48906-4348

Practice Phone: 919-438-1674
Practice Fax:

1750378758 — CYNTHIA LOCKERD DO
Practice Location Address:

1717 N HIGH ST
LANSING, MI
48906-4529

Practice Phone: 517-371-1700
Practice Fax: 517-371-4245

1750365359 — ALBERT C MOELLER M.D.
Practice Location Address:

737 N GRAND AVE
LANSING, MI
48906-5160

Practice Phone: 517-372-0500
Practice Fax: 517-482-3220

Directions to “ LARRY D. WAGENKNECHT R.PH.” 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.