Individual
CARRIE GERDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
540 MOUNTAIN VIEW RD, RAPID CITY, SD 57702-2535
(605) 342-6010
(605) 342-1171
Mailing address
540 MOUNTAIN VIEW RD, RAPID CITY, SD 57702-2535
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5143
SD
Other
Enumeration date
08/12/2011
Last updated
08/12/2011
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