Individual provider · Type 1 NPI

Jason Dean Otta, RPH

Pharmacist · Sioux Falls, SD

NPI number 1104266469 Active

Practice location

3201 S Louise Ave
Sioux Falls, SD 57106-0704

Call (605) 362-2625 Map

Fax (605) 362-2636

Mailing address

1201 Hyannis Port Ln
Sioux Falls, SD 57106-5467

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X4853 (SD)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1104266469

Jason Dean Otta, RPH's National Provider Identifier is 1104266469, issued on Jul 1, 2013. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Sioux Falls, SD. The record was last updated on Jul 1, 2013.