Individual
ROLAND THEODORE WICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2701 HIGHWAY 18 W, HOT SPRINGS, SD 57747-6604
(605) 745-4681
(605) 745-4813
Mailing address
2701 HIGHWAY 18 W, HOT SPRINGS, SD 57747-6604
(605) 745-4681
(605) 745-4813
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3584
SD
Other
Enumeration date
04/17/2013
Last updated
04/17/2013
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