Healthcare Provider Details

I. General information

NPI: 1871886044
Provider Name (Legal Business Name): MATTHEW J TOENNIES PHARM D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2011
Last Update Date: 03/08/2023
Certification Date: 03/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 E 56TH ST N STE 3150
SIOUX FALLS SD
57104-0408
US

IV. Provider business mailing address

500 E 56TH ST N STE 3150
SIOUX FALLS SD
57104-0408
US

V. Phone/Fax

Practice location:
  • Phone: 605-322-8300
  • Fax: 605-322-8361
Mailing address:
  • Phone: 605-322-8300
  • Fax: 605-322-8361

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5594
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: