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Individual

KELLI SHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
540 MOUNTAIN VIEW RD, RAPID CITY, SD 57702-2535
(605) 342-6010
Mailing address
2727 ARROWHEAD DR, RAPID CITY, SD 57702-5208

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5995
SD

Other

Enumeration date
02/17/2023
Last updated
02/17/2023
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