Individual
ASHLEY MUTSCHELKNAUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
910 22ND AVE S, BROOKINGS, SD 57006-2830
(605) 692-8881
Mailing address
47713 209TH ST, AURORA, SD 57002-6511
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5680
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4353126
NCPDP
—
05
—
8502790
—
SD
Enumeration date
07/10/2015
Last updated
07/10/2015
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