Individual
KAITLIN BOTTELBERGHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
113 COMANCHE RD, FORT MEADE, SD 57741-1002
(605) 347-2511
Mailing address
927 E OHIO ST, RAPID CITY, SD 57701-5812
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6396
SD
Other
Enumeration date
09/01/2016
Last updated
05/31/2023
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