Individual
KIMBERLY AMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
71 CHARLES ST, DEADWOOD, SD 57732-1303
(605) 578-1512
Mailing address
11600 LOFTY PINES RD, PIEDMONT, SD 57769-7218
(605) 578-1512
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
R5122
SD
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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