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NPI Code Detail

MEDICARE: KARLA KAYE JANSSEN R.PH.

MEDICARE: KARLA KAYE JANSSEN R.PH.
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
1183500000XPharmacistR-4768SD

General Provider Information

NPI Number : 1992890958
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARLA KAYE JANSSEN R.PH.
Provider Business Mailing Address
First Line : 113 COMANCHE RD
Second Line :
City : FORT MEADE
State : SD
Zip : 57741-1002
Country : US
Telephone Number : 605-718-1095
Fax Number :
Provider Business Practice Location Address
First Line : 2165 PROMISE RD
Second Line :
City : RAPID CITY
State : SD
Zip : 57701-8981
Country : US
Telephone Number : 605-718-1095
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2006
Last Update Date : 12/12/2024

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Directions to “ KARLA KAYE JANSSEN R.PH.” Practice Location

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