Individual
DR. JEFF DANIEL DEROUCHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
3209 S LOUISE AVE, SIOUX FALLS, SD 57106-0704
(605) 362-1602
(605) 361-3476
Mailing address
5115 ROLLING GREEN AVE APT 308, SIOUX FALLS, SD 57108-2218
(605) 271-1181
(605) 361-3476
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5378
SD
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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