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Individual

BETHANY MARIE HOLDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1201 29TH ST SE, WATERTOWN, SD 57201-9179
(605) 886-8419
Mailing address
19211 467TH AVE, ESTELLINE, SD 57234-5648
(605) 691-1899

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5475
SD

Other

Enumeration date
11/08/2020
Last updated
11/08/2020
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