Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Dane Leist, PHARMD

Individual provider Pharmacist · NPI 1124396650

Dr. Dane Leist, PHARMD is a Pharmacist in Two Rivers, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2011
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

See every abbreviation used in this directory →

Practice location Address checks out

2206 Washington St
Two Rivers, WI 54241-2241
Phone: (920) 793-8352
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 16249-040 (WI)

Record details

NPI number1124396650
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorYes
NPI enumeratedDecember 12, 2011
Last updated in NPPESAugust 19, 2015
Mailing address2206 Washington St, Two Rivers, WI 54241-2241

Other providers in Two Rivers