Individual
PAMELA SUE EKERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
1004 6TH ST, BROOKINGS, SD 57006
(605) 692-2088
(605) 692-2089
Mailing address
1004 6TH ST, BROOKINGS, SD 57006
(605) 692-2088
(605) 692-2089
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8504660
—
SD
Enumeration date
08/21/2018
Last updated
08/21/2018
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