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Individual

BRIAN LEROY TEMPLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1101 E SPRUCE ST, MITCHELL, SD 57301-4867
(605) 995-6845
(605) 995-6857
Mailing address
1101 E SPRUCE ST, MITCHELL, SD 57301-4867
(605) 995-6845
(605) 995-6857

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
R4520
SD

Other

Enumeration date
02/07/2018
Last updated
02/07/2018
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