ANDERSON MABOUR

PINE RIDGE, SD
NPI1083320949
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: FL  ps50364)
Enumeration Date2023-01-25
Last Update Date2023-01-25
Business Address
Dr. ANDERSON MABOUR PharmD, BCPS
607 INDIAN HEALTH RD
PINE RIDGE, SD 57770-3169
Phone number: 605-867-3195
Mailing Address
Dr. ANDERSON MABOUR PharmD, BCPS
PO BOX 285
PORCUPINE, SD 57772-0285
Phone number: