Provider Demographics
NPI:1710287289
Name:LAGRANGE, DAN ARTHUR (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:DAN
Middle Name:ARTHUR
Last Name:LAGRANGE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 N MILLER ST
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801-2041
Mailing Address - Country:US
Mailing Address - Phone:319-560-9336
Mailing Address - Fax:
Practice Address - Street 1:501 N MILLER ST
Practice Address - Street 2:
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-2041
Practice Address - Country:US
Practice Address - Phone:319-560-9336
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-29
Last Update Date:2010-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60176714183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist