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1194101105
CARLIE M SOPER
EAGLE BUTTE, SD
NPI
1194101105
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: SD 6279)
Enumeration Date
2015-08-03
Last Update Date
2015-08-03
Business Address
-- CARLIE M SOPER Pharm.D.
24276 166TH STREET AIRPORT ROAD
EAGLE BUTTE, SD 57625
Phone number: 605-964-7724
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Mailing Address
-- CARLIE M SOPER Pharm.D.
PO BOX 1012
EAGLE BUTTE, SD 57625-1012
Phone number: 605-964-7724
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