Individual
KENT D MUNGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
401 INGALLS AVE SW, DE SMET, SD 57231-2234
(605) 203-1194
Mailing address
401 INGALLS AVE SW, DE SMET, SD 57231-2234
(605) 203-1194
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4583
SD
Other
Enumeration date
05/20/2009
Last updated
05/20/2009
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