Individual
MS. SARA MARIE LOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
4500 EAST HIGHWAY 18, PINE RIDGE, SD 57770
(605) 867-3093
Mailing address
1045 N AMES ST, SPEARFISH, SD 57783-1703
(701) 830-0145
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5779
SD
Other
Enumeration date
02/09/2011
Last updated
02/09/2011
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