Healthcare Provider Details

I. General information

NPI: 1366652059
Provider Name (Legal Business Name): SHERRI LYNN DENNING RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 N FOSTER ST
MITCHELL SD
57301-2966
US

IV. Provider business mailing address

106 NORTHVIEW RD
MOUNT VERNON SD
57363-2036
US

V. Phone/Fax

Practice location:
  • Phone: 605-995-2237
  • Fax:
Mailing address:
  • Phone: 605-236-5225
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License Number4783
License Number StateSD

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: