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Individual

ALEX MIDDENDORF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD, MBA

Contact information

Practice address
4801 N CAREER AVE, SIOUX FALLS, SD 57107-1329
(605) 367-7583
Mailing address
2701 N CAREER AVE APT 209, SIOUX FALLS, SD 57107-1348
(605) 367-7583

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
IA22077
IA
183500000X
Pharmacist
Primary
R6248
SD

Other

Enumeration date
09/16/2013
Last updated
02/19/2015
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