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NPI Code Detail

MEDICARE: PROF. DONNA JEAN CHRISTENSEN RPH

MEDICARE: PROF. DONNA JEAN CHRISTENSEN 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
1183500000XPharmacistR5427SD

General Provider Information

NPI Number : 1508938671
Entity Type Code : Individual
Provider Name (Legal Business Name) : PROF. DONNA JEAN CHRISTENSEN RPH
Provider Business Mailing Address
First Line : 6300 S AVALON AVE APT 112
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57108-2411
Country : US
Telephone Number : 605-271-2024
Fax Number :
Provider Business Practice Location Address
First Line : 4901 N 4TH AVE
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57104-0444
Country : US
Telephone Number : 605-373-0100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2006
Last Update Date : 07/08/2007

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