Individual
SHANE M HIMMERICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2707 S CAROLYN AVE, SIOUX FALLS, SD 57106-0791
(605) 373-0100
Mailing address
2612 S JUDY AVE, SIOUX FALLS, SD 57103-6321
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4527
SD
Other
Enumeration date
01/27/2007
Last updated
07/08/2007
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