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

Dr. Dustin Hannawalt

Individual provider Pharmacist · NPI 1285205377

Dr. Dustin Hannawalt is a Pharmacist in Caldwell, Idaho. Licensed in Idaho. Registered with an NPI since 2021.

Licensed in
ID
In the registry since
2021

Practice location Address checks out

4110 S 10th Ave
Caldwell, ID 83605-5706
Phone: (208) 402-0154
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence P9379 (ID)

Record details

NPI number1285205377
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 8, 2021
Last updated in NPPESJuly 8, 2021
Certification dateJuly 8, 2021

Other providers in Caldwell