| Lisa Petersen, | |
|
213 Calumet Ave Sw, De Smet, SD 57231-2161 | |
| (605) 854-9033 | |
| (605) 854-9114 |
| Full Name | Lisa Petersen |
|---|---|
| Gender | Female |
| Speciality | Pharmacist |
| Location | 213 Calumet Ave Sw, De Smet, South Dakota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407239338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 5091 (South Dakota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Petersen, 307 4th St Sw, De Smet, SD 57231-2230 Ph: (605) 854-9033 | Lisa Petersen, 213 Calumet Ave Sw, De Smet, SD 57231-2161 Ph: (605) 854-9033 |
Kent D Munger, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 401 Ingalls Ave Sw, De Smet, SD 57231 Phone: 605-203-1194 | |
Ms. Anne Marie Nopens, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 213 Calumet Ave Se, De Smet, SD 57231 Phone: 605-854-9033 Fax: 605-854-9114 |