Deborah Jean Odens, P.D.
Individual provider Active NPI Pharmacist · Lower Brule, SD
NPI 1104952282 · NPPES record last updated Jul 10, 2012
Key facts
- NPI
- 1104952282
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- R4362 (SD)
- Practice address
- 601 Gall St.
Lower Brule, SD 57548 - Phone
- (605) 473-8227
- Fax
- (605) 473-0708
- NPI assigned
- Feb 26, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R4362 | SD | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | R4362 | SD | Yes |
Addresses
Primary practice location
601 Gall St.
Lower Brule, SD 57548
Mailing address
712 N Main St
Chamberlain, SD 57325-1271
Phone (605) 234-5833
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R4362 | Other | SD | PHARMACY LICENSE |
Other providers in Lower Brule, SD
- Lower Brule Sioux Tribe
- Lower Brule Sioux Tribe
- Lower Brule Sioux Tribe
- Lower Brule Sioux Tribe
- Ladean Marie Morford
- Madyson Schelske
- Kimm Laree Schweitzer
- Jessica Shaffer
- Helen S Thiry-Chmela
- Kimberly Thomas
All providers in Lower Brule, SD · Pharmacist in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.