Individual
LARRY EUGENE BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
115 E MAPLE ST, SISSETON, SD 57262-1412
(605) 698-2222
(605) 698-2226
Mailing address
12199 455TH AVE, SISSETON, SD 57262-7216
(605) 698-4124
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4122
SD
Other
Enumeration date
01/08/2020
Last updated
01/08/2020
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