| NPI | 1053913970 |
|---|---|
| Doing Business As | SANFORD PHARMACY BROADWAY 340B |
| Entity Type | Organization |
| Authorized Contact | TONY LEE MORRISON Vice President, Revenue Cycle 605-328-8380 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2020-11-16 |
| Last Update Date | 2020-11-16 |