Individual
DR. BRET J. MAYDEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
408 MAIN, PLATTE, SD 57369
(605) 337-3662
(605) 337-2673
Mailing address
PO BOX 110, PLATTE, SD 57369-0110
(605) 337-3662
(605) 337-2673
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5231
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5231
STATE PHARMACY LICENSE
SD
Enumeration date
11/21/2008
Last updated
02/17/2017
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