Individual
GINA TERESA JOHANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
403 W BROAD AVE, FLANDREAU, SD 57028-1630
(605) 997-2642
(605) 997-2586
Mailing address
47726 SD HIGHWAY 32, FLANDREAU, SD 57028-6719
(605) 941-5201
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6573
SD
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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