LORA LEE VAN DYKE

SIOUX FALLS, SD
NPI1689945875
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: SD  4117)
Additional Taxonomies183500000X Pharmacist
(Licence: IA  19216)
183500000X Pharmacist
(Licence: MN  118797)
Enumeration Date2012-01-19
Last Update Date2021-03-04
Business Address
LORA LEE VAN DYKE PHARM D
2333 W 57TH ST STE 109
SIOUX FALLS, SD 57108-5054
Phone number: 605-331-3190
Mailing Address
LORA LEE VAN DYKE PHARM D
2333 W 57TH ST STE 109
SIOUX FALLS, SD 57108-5054
Phone number: 605-331-3190