Individual
COURTNEY LARSON KJERSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
130 S CENTER AVE, PHILIP, SD 57567-0878
(605) 859-2843
Mailing address
PO BOX 878, PHILIP, SD 57567-0878
(605) 769-4188
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S018485
AZ
Other
Enumeration date
02/16/2012
Last updated
01/15/2020
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