Individual
LEE CORDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
71 CHARLES ST, DEADWOOD, SD 57732-1303
(605) 578-1512
Mailing address
71 CHARLES ST, DEADWOOD, SD 57732-1303
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6055
SD
Other
Enumeration date
09/16/2013
Last updated
09/16/2013
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