Individual provider · Type 1 NPI

David John Light, RPH

Pharmacist · Waite Park, MN

NPI number 1962771642 Active

Practice location

17 Division St
Waite Park, MN 56387-1349

Call (320) 203-1035 Map

Mailing address

6483 36th Ave SE
St. Cloud, MN 56304-9409

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X112825 (MN)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1962771642

David John Light, RPH's National Provider Identifier is 1962771642, issued on Dec 24, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Waite Park, MN. The record was last updated on Dec 24, 2011.