Individual
DR. BRIAN BANNWARTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
25147 CAMPGROUND ROAD, MITCHELL, SD 57301
(605) 770-0551
Mailing address
25147 CAMPGROUND RD, MITCHELL, SD 57301-7829
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5175
SD
Other
Enumeration date
01/11/2018
Last updated
01/11/2018
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