Individual
BIRGEN BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 CANYON LAKE DR, RAPID CITY, SD 57702-8114
(605) 355-2500
Mailing address
1460 MEADE AVE, STURGIS, SD 57785-2129
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH6497
SD
Other
Enumeration date
03/18/2024
Last updated
09/05/2024
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