Individual
TIMOTHY JULIAN PEARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PD
Contact information
Practice address
420 VETERANS AVE, SISSETON, SD 57262-1402
(605) 698-3622
(605) 698-3622
Mailing address
703 E OAK ST, SISSETON, SD 57262-1630
(605) 698-3567
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3598
SD
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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