Individual
MS. LATONA M AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
PINE RIDGE IHS PHARMACY, EAST HWY 18, PINE RIDGE, SD 57770
(605) 867-3195
Mailing address
28511 NORTH BUTTE RD, SMITHWICK, SD 57782
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5303
SD
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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