Individual
MAKENZIE AESOPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2233 6TH ST, BROOKINGS, SD 57006-1731
(605) 692-1858
Mailing address
2233 6TH ST, BROOKINGS, SD 57006-1731
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6323
SD
Other
Enumeration date
12/20/2017
Last updated
12/20/2017
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