Healthcare Provider Details

I. General information

NPI: 1225596745
Provider Name (Legal Business Name): MARGARET BRILL PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/04/2019
Last Update Date: 03/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 HEALTH CENTER ROAD
KYLE SD
57752-0540
US

IV. Provider business mailing address

2751 BELGARDE BLVD APT 305
RAPID CITY SD
57702-9492
US

V. Phone/Fax

Practice location:
  • Phone: 605-455-2451
  • Fax: 605-455-1450
Mailing address:
  • Phone: 605-716-7636
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number25838
License Number StateMD

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: