Individual
KAYLA JO HOLLENBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1101 E SPRUCE ST, MITCHELL, SD 57301-4867
(605) 995-6845
(605) 995-6857
Mailing address
1101 E SPRUCE ST, MITCHELL, SD 57301-4867
(605) 995-6845
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6033
SD
Other
Enumeration date
01/11/2018
Last updated
01/11/2018
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