Healthcare Provider Details

I. General information

NPI: 1154248730
Provider Name (Legal Business Name): COLLIN WALTER LUDEWIG PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2701 S MINNESOTA AVE STE 101
SIOUX FALLS SD
57105-4744
US

IV. Provider business mailing address

305 E 2ND ST APT 4004
YANKTON SD
57078-4546
US

V. Phone/Fax

Practice location:
  • Phone: 605-367-2000
  • Fax:
Mailing address:
  • Phone: 507-766-5998
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number7361
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: