Individual
RICHARD EUGENE ERICKSON II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
1100 DOUGLAS AVE, YANKTON, SD 57078-3076
(605) 665-3262
(605) 668-1124
Mailing address
812 GRANDVIEW CIR, YANKTON, SD 57078-4907
(605) 665-7570
(605) 668-1124
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4488
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4488
PHARMACY LICENSE
SD
Enumeration date
04/09/2007
Last updated
07/08/2007
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