Individual
MRS. TANYA MARIE GRUNTMEIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
411 THIRD AVE SOUTH, CLEAR LAKE, SD 57226-0247
(605) 874-8220
Mailing address
PO BOX 247, CLEAR LAKE, SD 57226-0247
(605) 874-8220
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5583
SD
Other
Enumeration date
08/28/2009
Last updated
08/28/2009
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