Medina, John

Medina, John is an sole proprietor health care provider with primary practice located at East Highway 18 , Pine Ridge SD 57770. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Medina, John can be contacted via phone (605) 867-3048.

Contact Information

Primary practice address
East Highway 18 Pine Ridge SD 57770
Phone: (605) 867-3048
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PH60040238 Washington

Profile Details

NPI number 1578881975
LBN Legal business name Medina, John
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2010
Last updated Jun 23rd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers