Individual
KRISTA STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1430 NORTH AVE, SPEARFISH, SD 57783-1593
(605) 642-0650
Mailing address
1430 NORTH AVE, SPEARFISH, SD 57783-1593
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5195
SD
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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