Siyue Li, PHARMD.

Individual provider Active NPI Pharmacist · Pine Ridge, SD

NPI 1922474758 · NPPES record last updated Nov 4, 2016

Key facts

NPI
1922474758
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
26026274A (IN)
Practice address
East U.S. 18
Pine Ridge, SD 57770-1002
Phone
(605) 867-5131
NPI assigned
Aug 17, 2015
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
26026274AINMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 26026274A IN Yes

Addresses

Primary practice location

East U.S. 18
Pine Ridge, SD 57770-1002

Mailing address

1711 Harmony Heights LN Apt 206
Rapid City, SD 57702-6258
Phone (605) 867-5131

Other providers in Pine Ridge, SD

All providers in Pine Ridge, SD · Pharmacist in South Dakota

Sources for this page

Verify at the official NPI Registry.