Individual
KARLA KAYE JANSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
2165 PROMISE RD, RAPID CITY, SD 57701-8981
(605) 718-1095
Mailing address
113 COMANCHE RD, FORT MEADE, SD 57741-1002
(605) 718-1095
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
R-4768
SD
Other
Enumeration date
10/04/2006
Last updated
12/12/2024
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