Individual
SANDRA MARIE SHAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 MAC LN, PIERRE, SD 57501-3391
(605) 224-7334
Mailing address
28680 TREE FARM RD, PIERRE, SD 57501-6194
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
T0436
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8500202
—
SD
Enumeration date
02/19/2007
Last updated
07/08/2007
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