Individual
AMY A HAGGERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
4901 N 4TH AVE, SIOUX FALLS, SD 57104-0444
(605) 373-0100
Mailing address
2209 S CHESAPEAKE CIR, SIOUX FALLS, SD 57106-4552
(605) 361-6206
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5179
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5179
STATE PHARMACIST LICENSE
SD
Enumeration date
10/25/2006
Last updated
07/08/2007
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