Provider Demographics
NPI:1881323053
Name:PAGEL, STANLEY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:
Last Name:PAGEL
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 1:315 N WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:VIBORG
Mailing Address - State:SD
Mailing Address - Zip Code:57070-2002
Mailing Address - Country:US
Mailing Address - Phone:605-326-3096
Mailing Address - Fax:605-326-1158
Practice Address - Street 1:315 N WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:VIBORG
Practice Address - State:SD
Practice Address - Zip Code:57070-2002
Practice Address - Country:US
Practice Address - Phone:605-326-3096
Practice Address - Fax:605-326-1158
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-05
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD5457183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist