Individual
TODD ANTHONY CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
3200 CANYON LAKE DR, RAPID CITY, SD 57702-8114
(605) 355-2392
(605) 355-2565
Mailing address
3200 CANYON LAKE DR, RAPID CITY, SD 57702-8114
(605) 355-2392
(605) 355-2565
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
3044
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3044
PHARMACY LICENCE
WY
Enumeration date
06/23/2009
Last updated
06/23/2009
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