Individual
DIANE HABBENA DADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
1401 10TH AVE W, MOBRIDGE, SD 57601-1106
(605) 845-8115
Mailing address
1411 12TH ST W, MOBRIDGE, SD 57601-1018
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4217
SD
1835P1200X
Pharmacotherapy Pharmacist
4217
SD
Other
Enumeration date
10/04/2005
Last updated
05/27/2016
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