Individual provider · NPI-1

Taylor Campbell

Pharmacist · Fort Meade, SD

NPI number1780419077
StatusActive
Last updated in NPPESSep 5, 2024

Details

NPI
1780419077
Entity type
Individual (NPI-1)
Name
Taylor Campbell
Sex
Female
Sole proprietor
No
Enumeration date
Sep 5, 2024
Certification date
Sep 5, 2024
Last updated
Sep 5, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist8461970IDYes

Practice location

113 Comanche Rd
Fort Meade, SD 57741-1002

Phone 605-347-2511

Mailing address

11350 Sturgis Rd Apt 305
Summerset, SD 57718-0513

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