Organization
CIGNA TEL-DRUG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA ANN BEBENSEE PHARM D (STAFF PHARMACIST)
(605) 582-8544
Entity
Organization
Contact information
Practice address
4901 N 4TH AVE, SIOUX FALLS, SD 57104-0444
(605) 373-0100
Mailing address
224 TABOR CT, BRANDON, SD 57005-1080
(605) 582-8544
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
5141
SD
Other
Enumeration date
05/01/2007
Last updated
08/22/2020
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