Individual
CARLIE M SOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
24276 166TH STREET AIRPORT ROAD, EAGLE BUTTE, SD 57625
(605) 964-7724
(605) 964-1340
Mailing address
PO BOX 1012, EAGLE BUTTE, SD 57625-1012
(605) 964-7724
(605) 964-1340
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6279
SD
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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