Individual
TRAVIS WAYNE CONDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
701 EAST 6TH ST., PHS INDIAN HEALTH CENTER, MCLAUGHLIN, SD 57642-0879
(605) 823-4458
(605) 823-4470
Mailing address
PO BOX 879, PHS INDIAN HEALTH CENTER 701 EAST 6TH ST., MCLAUGHLIN, SD 57642-0879
(605) 823-4458
(605) 823-4470
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5203
ND
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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