Provider Information for 1982601282
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KESSLER PHARMACY INC
Other Names:Doing Business As:JONES DRUGOrganization Subpart: NO
NPI: 1982601282
Last Updated: 2016-10-04
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||||||
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| NPI | 1982601282 | ||||||||||||||||
| Enumeration Date | 2005-06-30 | ||||||||||||||||
| NPI Type | NPI-2 Organization | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Authorized Official Information | Name: JERRAD AMAN Pharm.D Title: PHARMACIST Phone: 6052256673 | ||||||||||||||||
| Mailing Address | 621 6TH AVE SE ABERDEEN, SD 57401-4538 United States Phone: 605-225-6673 | Fax:605-225-1612 | ||||||||||||||||
| Primary Practice Address | 816 6TH AVENUE SUITE 1 ABERDEEN, SD 57401-6315 United States Phone: 605-225-3010 | Fax:605-225-1906 | ||||||||||||||||
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