Individual
MICHELE KOOIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1125 N LACROSSE ST, RAPID CITY, SD 57701-6954
(605) 348-3265
(605) 348-2808
Mailing address
1125 N LACROSSE ST, RAPID CITY, SD 57701-6954
(605) 348-3265
(605) 348-2808
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5463
SD
Other
Enumeration date
05/14/2011
Last updated
05/14/2011
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