Individual
KYLE WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
1323 BIA ROUTE 4, FORT THOMPSON, SD 57339-0200
(605) 245-1534
Mailing address
PO BOX 200, FORT THOMPSON, SD 57339-0200
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6384
SD
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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