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NPI Code Detail

MEDICARE: DAKOTA TIMOTHY RAU PHARMD

MEDICARE:   DAKOTA TIMOTHY RAU  PHARMD
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
1183500000XPharmacist2026640WI

General Provider Information

NPI Number : 1376141333
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAKOTA TIMOTHY RAU PHARMD
Provider Business Mailing Address
First Line : 316 COLOME ST APT E
Second Line :
City : CHIPPEWA FALLS
State : WI
Zip : 54729-3817
Country : US
Telephone Number : 715-465-0999
Fax Number :
Provider Business Practice Location Address
First Line : 2786 COMMERCIAL BLVD
Second Line :
City : LAKE HALLIE
State : WI
Zip : 54729-5031
Country : US
Telephone Number : 715-738-2254
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2020
Last Update Date : 10/13/2020

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Directions to “ DAKOTA TIMOTHY RAU PHARMD” Practice Location

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