Individual
ELIZABETH PETKAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3820 7TH AVE SE, ABERDEEN, SD 57401-6638
(605) 229-1519
Mailing address
1316 3RD AVE SW, ABERDEEN, SD 57401-3716
(330) 242-5195
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7012
SD
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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