Individual
LAURA HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 W 12TH ST, SIOUX FALLS, SD 57104-3701
(605) 367-2210
Mailing address
2700 W 12TH ST, SIOUX FALLS, SD 57104-3701
(605) 367-2210
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5671
SD
Other
Enumeration date
07/09/2015
Last updated
07/09/2015
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