Provider Demographics
NPI:1346015062
Name:PAPPAS, KIERA ANNE (PHARMD)
Entity Type:Individual
Prefix:
First Name:KIERA
Middle Name:ANNE
Last Name:PAPPAS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:KIERA
Other - Middle Name:ANNE
Other - Last Name:KRAEMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2333 W 57TH ST STE 109
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-5054
Mailing Address - Country:US
Mailing Address - Phone:605-321-0794
Mailing Address - Fax:605-331-3243
Practice Address - Street 1:2333 W 57TH ST STE 109
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-5054
Practice Address - Country:US
Practice Address - Phone:605-334-1672
Practice Address - Fax:605-331-3243
Is Sole Proprietor?:No
Enumeration Date:2023-11-22
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD6945183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist