Individual
JACQUELYN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 W 41ST ST, SIOUX FALLS, SD 57105-6402
(605) 367-2110
Mailing address
7448 S HOMAN PL UNIT 7, SIOUX FALLS, SD 57108-8519
(605) 610-6232
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8386
SD
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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