Healthcare Provider Details

I. General information

NPI: 1265003511
Provider Name (Legal Business Name): SARAH JUNGERS PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2021
Last Update Date: 07/08/2021
Certification Date: 07/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2901 S MINNESOTA AVE
SIOUX FALLS SD
57105-5600
US

IV. Provider business mailing address

1732 S KATIE AVE APT 206
SIOUX FALLS SD
57106-4941
US

V. Phone/Fax

Practice location:
  • Phone: 605-367-2000
  • Fax:
Mailing address:
  • Phone: 712-461-1918
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number6877
License Number StateSD
# 2
Primary TaxonomyN
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number6877
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: