John Medina

NPI 1578881975 · on the registry since 2010 · sole proprietor

Practice

Address: East Highway 18
Pine Ridge, SD 57770
Phone: (605) 867-3048
Organisation at this address: Pine Ridge Indian Health Service
Pine Ridge Indian Health Service Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 39

Registry record

Primary taxonomy: Pharmacist
183500000X
Licence states on file: WA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-06-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Dakota