NPI 1124742994

Mackenzie Carlbom

Practitioner Pharmacist Rapid City, SD

Practice location

Address: 1200 N Lacrosse St, Rapid City, SD 57701-6965
Phone: (605) 342-0881
Mailing address: 820 Pro Rodeo Dr, Spearfish, SD 57783-9599

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 7004 (SD)

Other Pharmacist providers in South Dakota →

Registry record

NPI: 1124742994
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Sep 2022
Record last updated: 26 Sep 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.