Tom Dale Iverson, RPH Valid NPI
Individual provider · Pharmacist · Rapid City, SD
- NPI
- 1770878944
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 4048 (SD)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2011-06-15
- Last updated
- 2011-06-15
Practice location
1415 Eglin St.
Rapid City, SD 57703
(605) 341-8621