Individual
REBECCA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
720 E 1ST ST, TEA, SD 57064-3218
(605) 368-9001
(605) 368-9003
Mailing address
720 E 1ST ST, TEA, SD 57064-3218
(605) 368-9001
(605) 368-9003
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4869
SD
Other
Enumeration date
07/14/2015
Last updated
07/14/2015
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