Individual
LISA MARIE GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
406 1ST ST NE, LAKE PRESTON, SD 57249-2334
(605) 860-0021
Mailing address
PO BOX 71, LAKE PRESTON, SD 57249-0071
(605) 860-0021
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6961
SD
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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