Provider Demographics
NPI:1215054762
Name:CUTLER, NANCY LEE (RPH)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:LEE
Last Name:CUTLER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3805 S KRIS DR
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57103-7170
Mailing Address - Country:US
Mailing Address - Phone:605-371-1414
Mailing Address - Fax:
Practice Address - Street 1:3020 E 10TH ST
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57103-2135
Practice Address - Country:US
Practice Address - Phone:605-336-8998
Practice Address - Fax:605-336-8953
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD4224183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD1700816915OtherHYVEE 1637 NPI NUMBER