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Individual

MICHAEL L JOCKHECK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
700 GOVERNORS DR, DSS/MEDICAL SERVICES, PIERRE, SD 57501-2291
(605) 773-3495
(605) 773-5246
Mailing address
1515 E PARK ST, PIERRE, SD 57501-4142
(605) 773-3495
(605) 773-5246

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4987
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4987
PHARMACIST LICENSE NUMBER
SD
Enumeration date
08/23/2006
Last updated
11/24/2008
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