MEDICARE: MRS. FARZANEH TAVASSOLI FORTIER RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	4616	SD

General Provider Information

NPI Number	:	1275822108
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. FARZANEH TAVASSOLI FORTIER RPH

Provider Business Mailing Address
First Line	:	2608 BADGER DR
Second Line	:
City	:	STURGIS
State	:	SD
Zip	:	57785-2248
Country	:	US
Telephone Number	:	605-720-9579
Fax Number	:

Provider Business Practice Location Address
First Line	:	2650 MT RUSHMORE RD
Second Line	:
City	:	RAPID CITY
State	:	SD
Zip	:	57701
Country	:	US
Telephone Number	:	605-718-4040
Fax Number	:	605-718-2650

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2011
Last Update Date	:	03/31/2011

Similar Medicare Providers

1285566984 — HANNAH MARIE SCHMIDTLEIN CRNA
Practice Location Address:

353 FAIRMONT BLVD
RAPID CITY, SD
57701-7375

Practice Phone: 605-755-1000
Practice Fax:

1386578540 — BLAKE HENRY SCHUMACHER
Practice Location Address:

2165 PROMISE RD
RAPID CITY, SD
57701-8981

Practice Phone: 605-890-2760
Practice Fax:

1861653487 — DR. JASON GENE LOZANO M.D.
Practice Location Address:

2805 5TH ST STE 210A
RAPID CITY, SD
57701-7330

Practice Phone: 605-343-2267
Practice Fax:

1013122431 — ADRIANE MARIE COX CSW-PIP
Practice Location Address:

2202 MOUNT RUSHMORE RD
RAPID CITY, SD
57701-5312

Practice Phone: 605-633-5762
Practice Fax:

1184556524 — COX MENTAL HEALTH AND WELLNESS
Practice Location Address:

2202 MOUNT RUSHMORE RD
RAPID CITY, SD
57701-5312

Practice Phone: 605-381-4308
Practice Fax:

1710819107 — CARSTON CHARLES MERTENS
Practice Location Address:

111 NORTH ST
RAPID CITY, SD
57701-1163

Practice Phone: 605-343-0650
Practice Fax: 605-342-3692

1013849330 — HAILEY JAYE PULLMAN
Practice Location Address:

420 E SAINT PATRICK ST STE 101
RAPID CITY, SD
57701-4200

Practice Phone: 605-484-9019
Practice Fax:

Directions to “ MRS. FARZANEH TAVASSOLI FORTIER RPH” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.