IndividualActive
Justin Stakston, PHARMD, BCPS
NPI 1174933295 · Pharmacotherapy Pharmacist · La Crosse, WI
Provider details
- NPI number
- 1174933295
- Entity type
- Individual
- Primary specialty
- Pharmacotherapy PharmacistPharmacy Service Providers
- Credential
- PHARMD, BCPS
- Sex
- Male
- Sole proprietor
- No
- License
- 14519-40 (WI)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
2400 Rose St
La Crosse, WI 54603-1612
Phone: (608) 781-3300
Approximate (ZIP-level) locationGet directions
Mailing address
2400 Rose St
La Crosse, WI 54603-1612
Registry dates
- Enumerated
- 2014-04-28
- Last updated
- 2014-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.