Individual
LORA LOUISE HUMMEL-KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1430 NORTH AVE, SPEARFISH, SD 57783
(605) 642-0650
(605) 642-0263
Mailing address
1430 NORTH AVE, SPEARFISH, SD 57783-1593
(605) 642-0650
(605) 642-0263
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4539
SD
Other
Enumeration date
06/16/2011
Last updated
06/16/2011
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