Individual
LAURIE ANN TENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 S MAIN ST, MILBANK, SD 57252-1806
(605) 432-5542
(605) 432-5562
Mailing address
109 S MAIN ST, MILBANK, SD 57252-1806
(605) 432-5542
(605) 432-5562
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
SD4925
SD
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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