Individual
MRS. TAMARA VANROEKEL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
230 E. MAIN ST, CORSICA, SD 57328
(605) 946-5549
(605) 946-5987
Mailing address
PO BOX 104, CORSICA, SD 57328-0104
(605) 946-5722
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4469
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8502482
—
SD
Enumeration date
10/05/2005
Last updated
07/08/2007
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