Individual
MR. KELLY D JERRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1111 E NORTH ST, RAPID CITY, SD 57701-1747
(605) 343-2248
Mailing address
1111 E NORTH ST, RAPID CITY, SD 57701-1747
(605) 343-2248
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4165
SD
Other
Enumeration date
03/06/2010
Last updated
03/06/2010
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