Erica Bukovich, PHARM.D.

Individual provider Active NPI Pharmacist · Sioux Falls, SD

NPI 1740424381 · NPPES record last updated Jun 21, 2013

Key facts

NPI
1740424381
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
5324 (SD)
Practice address
2301 W Russell St
Sioux Falls, SD 57104-1136
Phone
(605) 977-0123
NPI assigned
Apr 27, 2009
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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
5324SDMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5324 SD Yes

Addresses

Primary practice location

2301 W Russell St
Sioux Falls, SD 57104-1136

Mailing address

2301 W Russell St
Sioux Falls, SD 57104-1136
Phone (605) 977-0123

Other providers in Sioux Falls, SD

All providers in Sioux Falls, SD · Pharmacist in South Dakota

Sources for this page

Verify at the official NPI Registry.