Healthcare Provider Details

I. General information

NPI: 1558199836
Provider Name (Legal Business Name): SIERRA SCHMIEDT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SIERRA SWENSON

II. Dates (important events)

Enumeration Date: 07/26/2024
Last Update Date: 08/09/2024
Certification Date: 08/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2791 DAKOTA AVE S
HURON SD
57350-4441
US

IV. Provider business mailing address

2791 DAKOTA AVE S
HURON SD
57350-4441
US

V. Phone/Fax

Practice location:
  • Phone: 605-353-9513
  • Fax: 605-353-9515
Mailing address:
  • Phone: 605-353-9513
  • Fax: 605-353-9515

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number7189
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: