IndividualActive
Tadd Sharp-Bowman
NPI 1679399398 · Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Porcupine, SD
Provider details
- NPI number
- 1679399398
- Entity type
- Individual
- Primary specialty
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Suppliers
Practice location
1883 Lawrence Ln # 8
Porcupine, SD 57772-3064
Phone: (605) 407-0138
Approximate (ZIP-level) locationGet directions
Mailing address
1883 Lawrence Ln # 8
Porcupine, SD 57772-3064
Registry dates
- Enumerated
- 2024-11-26
- Last updated
- 2024-11-26
- Certified
- 2024-11-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.