Provider Demographics
NPI:1902106925
Name:FRANCIS, DEBORAH PAULINE (RPH)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:PAULINE
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:PAULINE
Other - Last Name:GLICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:1712 SD HWY 12
Mailing Address - Street 2:PAMIDA PHARMACY
Mailing Address - City:SISSETON
Mailing Address - State:SD
Mailing Address - Zip Code:57262
Mailing Address - Country:US
Mailing Address - Phone:605-742-0016
Mailing Address - Fax:605-742-0021
Practice Address - Street 1:1712 SD HWY 12
Practice Address - Street 2:PAMIDA PHARMACY
Practice Address - City:SISSETON
Practice Address - State:SD
Practice Address - Zip Code:57262
Practice Address - Country:US
Practice Address - Phone:605-742-0016
Practice Address - Fax:605-742-0021
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-25
Last Update Date:2010-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD5502183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist