Individual
LUCY MANU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
24276 166TH STREET; AIRPORT ROAD, EAGLE BUTTE, SD 57625
(605) 964-1520
Mailing address
PO BOX 895, EAGLE BUTTE, SD 57625-0895
(732) 581-3827
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03337773
OH
Other
Enumeration date
07/08/2019
Last updated
07/08/2019
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