Individual
SYLVIA ANN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
510 MAIN ST, WALL, SD 57790-9501
(605) 279-2175
(605) 279-1030
Mailing address
PO BOX 401, WALL, SD 57790-0401
(605) 279-2175
(605) 279-1030
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5404
SD
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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