Provider Demographics
NPI:1932583317
Name:GETSKOW, QUEENA (PHARMD)
Entity type:Individual
Prefix:
First Name:QUEENA
Middle Name:
Last Name:GETSKOW
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 496
Mailing Address - Street 2:
Mailing Address - City:VIBORG
Mailing Address - State:SD
Mailing Address - Zip Code:57070-0496
Mailing Address - Country:US
Mailing Address - Phone:605-326-5211
Mailing Address - Fax:605-326-5341
Practice Address - Street 1:104 W PARK AVE
Practice Address - Street 2:
Practice Address - City:VIBORG
Practice Address - State:SD
Practice Address - Zip Code:57070-2048
Practice Address - Country:US
Practice Address - Phone:605-326-5211
Practice Address - Fax:605-326-5341
Is Sole Proprietor?:No
Enumeration Date:2015-07-15
Last Update Date:2015-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD5133183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist