Provider Demographics
NPI:1699859264
Name:DREES, JERRY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JERRY
Middle Name:
Last Name:DREES
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37970 132ND ST
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:SD
Mailing Address - Zip Code:57401-8434
Mailing Address - Country:US
Mailing Address - Phone:605-226-1738
Mailing Address - Fax:
Practice Address - Street 1:305 S STATE ST
Practice Address - Street 2:AVERA ST LUKE'S PHARMACY
Practice Address - City:ABERDEEN
Practice Address - State:SD
Practice Address - Zip Code:57401-4527
Practice Address - Country:US
Practice Address - Phone:605-622-4075
Practice Address - Fax:605-622-5019
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD4159183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist