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Individual

DANIEL PATRICK RILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
317 MAIN STREET, EAGLE BUTTE, SD 57625
(605) 964-3007
(605) 964-1139
Mailing address
317 MAIN STREET, P.O. BOX 1012, EAGLE BUTTE, SD 57625
(605) 964-3007
(605) 964-1139

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
R5168
SD

Other

Enumeration date
04/03/2007
Last updated
07/08/2007
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