Individual
MRS. CYNTHIA SHIRLEY WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
HWY 47 AND 34, FT. THOMPSON, SD 57339
(605) 245-1503
Mailing address
34414 245TH ST, CHAMBERLAIN, SD 57325
(605) 734-6957
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4481
SD
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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