Individual
TADD EVAN SHARP-BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1883 LAWRENCE LN # 8, PORCUPINE, SD 57772-3064
(605) 407-0138
Mailing address
1883 LAWRENCE LN # 8, PORCUPINE, SD 57772-3064
(605) 407-0138
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—
Other
Enumeration date
11/26/2024
Last updated
11/26/2024
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