Individual
JENNIFER DOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5500 W 41ST ST, SIOUX FALLS, SD 57106-1009
(605) 367-2610
Mailing address
5604 W 41ST ST, SIOUX FALLS, SD 57106-1099
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6163
SD
Other
Enumeration date
07/14/2015
Last updated
07/14/2015
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