Individual
MRS. FARZANEH TAVASSOLI FORTIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2650 MT RUSHMORE RD, RAPID CITY, SD 57701
(605) 718-4040
(605) 718-2650
Mailing address
2608 BADGER DR, STURGIS, SD 57785-2248
(605) 720-9579
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4616
SD
Other
Enumeration date
03/31/2011
Last updated
03/31/2011
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