John Medina
NPI #1578881975 in Pine Ridge, South Dakota
Provider Information
- NPI Number
- 1578881975
- Entity Type
- Individual
- Name
- John Medina
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Enumeration Date
- May 10, 2010
- Last Updated
- Jun 23, 2021
Practice Location
- Address
- EAST HIGHWAY 18
- City
- Pine Ridge
- State
- South Dakota
- ZIP Code
- 57770
- Phone
- (605) 867-3048
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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